Form ID

Publication date

Location of premises

Certificate

Ministry of Natural Resources, Bancroft, Ontario Replace Roof Project No.: F72027

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
907920 Ontario Inc.
Address of Contractor
185 Wellington Street, Belleville, ON K8P 3W9
Name of Certifier
Mr. Dave Bell
Address of Certifier
14 Gable Lane, South Cottage Kingston ON K7M 9A7

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley West, 12th Floor, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3