Form ID

Publication date

Location of premises

Certificate

Construct a 5 room group home -Christian Horizons 7

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Christian Horizon
Address of Owner
1998 Richard St., Sudbury, ON
Name of Contractor
Sal-Dan Developments Ltd.
Address of Contractor
64 Industrial Park Crescent, Sault Ste. Marie, ON P6B 5P2
Name of Certifier
AXS Inc.
Address of Certifier
47 Highland Ave., Barrie, ON

Identification of Premises

Lot #12 Plan 53R-12897 Richard Street, Sudbury

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

64 Industrial Park Crescent, Sault Ste. Marie, Ontario P6B 5P2