Form ID

Publication date

Location of premises

Certificate

Roof Repairs and Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
c/o Del Management Solutions Inc.
Address of Owner
310 Highway #7, Green River, Locust Hill, ON L0H 1J0
Name of Contractor
JMX Contracting
Address of Contractor
130 Ram Forest Road, Gormley, ON L0H 1G0
Name of Certifier
MapleTherm Engineering Inc.
Address of Certifier
87-556 Edward Avenue, Richmond Hill, ON L4C 9Y5

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

Del Management Solutions Inc., 310 Highway #7, Green River, Locust Hill, Ontario L0H 1J0