Form ID

Publication date

Location of premises

Certificate

Surface Asphalt - Tender No. MTE-T-01-19

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hella Ziegenbein & The Estate of Udo Ziegenbein
Address of Owner
c/o David Howey, 1386 King St., St. Jacobs, ON N0B 2N0
Name of Contractor
Warren Bitulithic Limited
Address of Contractor
PO Box 96, Kitchener, ON N2G 3W9
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.