Form ID

Publication date

Location of premises

Certificate

Renovation of existing building including site work.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1336494 Ontario Limited.
Address of Owner
700 Horizon Dr., Suite 904, London, ON N6H 4T2.
Name of Contractor
A-Dor Construction.
Address of Contractor
R.R. #4, Ingersoll, ON N5C 3J7.

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

700 Horizon Dr., Suite 904, London, ON N6H 4T2.