Form ID

Publication date

Location of premises

Certificate

Replacement of Roof Sections 101, 201 and 301 as per Fishburn specifications and drawings dated June 2002

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hewlett-Packard (Canada) Co.
Address of Owner
901 King Street West, Floor 6, Toronto, ON M5V 3H5
Name of Contractor
Viana Roofing & Sheet Metal Ltd.
Address of Contractor
3434 Dundas St. W., Toronto, ON M6S 2S1
Name of Certifier
Fishburn Building Sciences Group Inc.
Address of Certifier
15391 Steeles Ave., Hornby, ON L0P 1E0

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

Hewlett-Packard (Canada) Co., 901 King Street West, Floor 6, Toronto, ON M5V 3H5