Form ID

Publication date

Location of premises

Certificate

To provide all labour, parts and materials, tools, equipment and supervision required to complete construction of Peterborough Arms Restaurant, 898 Monaghan Rd., Peterborough, ON

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peter Berardi - 1559741 Ontario Inc.
Address of Owner
380 Armour Rd., Suite 235, Peterborough, ON K9H 7L7
Name of Contractor
John Kloosterman General Contractors Limited
Address of Contractor
1542 Stewart Line, R. R. #3, Cavan, ON L0A 1C0
Name of Certifier
Erik Wilke Architect
Address of Certifier
311 George St. North, Peterborough, ON K9J 3H3

Identification of Premises

Peterborough Arms Restaurant, 898 Monaghan Rd., Peterborough, ON

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

Peterborough Land Registry Office, 300 Water St., Peterborough, ON