Form ID

Publication date

Location of premises

Certificate

Packaging Facility

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Amber Canada Inc.
Address of Owner
289 Front Street, Belleville, ON K8N 2Z6
Name of Contractor
Harrington and Associates Ltd.
Address of Contractor
9821 Leslie Street, Suite 105, Richmond Hill, ON L4B 3Y4

Identification of Premises

465 Clair Road West, Guelph, ON

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

289 Front Street, Belleville, ON, K8N 2Z6