Form ID

Publication date

Location of premises

Certificate

Surface Asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
John Hahn
Address of Owner
51 Hahn Valley Place, Cambridge, ON N1T 1W7
Name of Contractor
Capital Paving Inc.
Address of Contractor
P.O. Box 815, Guelph, ON N1H 6L8
Name of Certifier
MTE Consultants Inc.
Address of Certifier
650 Riverbend Drive, Kitchener, ON N2K 3S2

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

MTE Consultants Inc.