Form ID

Publication date

Location of premises

Certificate

Construction of Monthill Golf and Country Club, Clubhouse and Banquet Hall

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2434150 Ontario Inc.
Address of Owner
4925 Highway 6, Caledonia, ON N3W 1Z6
Name of Contractor
Schilthuis Construction Inc.
Address of Contractor
23 Industrial Drive, Caledonia, ON N3W 1H8
Name of Certifier
Mike Crooks, General Manager
Address of Certifier
4925 Highway 6, Caledonia, ON N3W 1Z6

Identification of Premises

4925 Highway 6, Caledonia, Ontario N3W 1Z6

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

Owner - Address as Above