Form ID

Publication date

Location of premises

Certificate

Carport Repairs, Phase 3

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
W.C.C. No. 272
Address of Owner
c/o Sanderson Management Inc., 30 Water Street North, Kitchener, ON N2H 5A8
Name of Contractor
Brick & Co. Restorations Ltd.
Address of Contractor
100 Hanson Ave, Suite B, Kitchener, ON N2C 2E2
Name of Certifier
Michael Piccin, M.A.Sc., P.Eng., 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

Sanderson Management Inc., 30 Water Street North, Kitchener, ON, N2H 5A8