Form ID

Publication date

Location of premises

Certificate

Earthworks and Primary Roads - MTE-T-99-27

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Crich Holdings & Buildings Inc.
Address of Owner
645 Williams Street, Unit 108, London, ON N5Y 4W2
Name of Contractor
Van Rooyen Earthmoving Ltd.
Address of Contractor
R.R. #4, 714389 Middletown Line, Woodstock, ON N4S 7V8
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.