Form ID

Publication date

Location of premises

Certificate

Flat Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
W.N.C.C. No. 61
Address of Owner
c/o M.F. Property Management Ltd., 28 Bett Court, Guelph, ON N1C 0A5
Name of Contractor
SempleGooder Roofing Corporation
Address of Contractor
309 Darrell Dr., Ayr ON N0B 1E0
Name of Certifier
Richard Shaw, RRO Pretium Anderson Waterloo Inc.
Address of Certifier
320 Woolwich St. S, Breslau, ON N0B 1M0

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

M.F. Property Management Ltd., 28 Bett Court, Guelph, ON, N1C 0A5