Form ID

Publication date

Location of premises

Certificate

Building Construction (C1-C6)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Camrose Developments (Ontario) Ltd.
Address of Owner
c/o 2nd Floor, 1702-4th St., SW Calgary, AB T2S 3A8
Name of Contractor
Tom Jones Corporation
Address of Contractor
c/o 2nd Floor, 1702-4th St., SW Calgary, AB T2S 3A8

Office to which claim for lien must be given to preserve lien

c/o 2nd Floor, 1702-4th St., SW Calgary, AB T2S 3A8