Form ID

Publication date

Location of premises

Certificate

Interior Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
James E. Wagner Cultivation Corporation
Address of Owner
530 Manitou Drive, Kitchener, ON N2C 1L3
Name of Contractor
Ball Construction
Address of Contractor
5 Shirley Ave, Kitchener, ON

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

530 Manitou Drive, Kitchener, Ontario N2C 1L3