Form ID

Publication date

Location of premises

Certificate

Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peel District School Board
Address of Owner
5650 Hurontario Street, Mississauga, ON L5R 1C6
Name of Contractor
Roque Roofing Inc.
Address of Contractor
3 Clark Ave, Hamilton, ON
Name of Certifier
TELSTORM Corp.
Address of Certifier
3100 Steeles Avenue West, Vaughan, ON L4K 3R1

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

5650 Hurontario Street, Mississauga, Ontario, L5R 1C6