Form ID

Publication date

Location of premises

Certificate

Shingle Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
W.N.C.C. No. 16
Address of Owner
c/o Wilson Blanchard Management Inc. (Cambridge), 149 Ainslie Street North, Suite 200, Cambridge, ON N1R 3P4
Name of Contractor
Cordeiro Roofing Ltd.
Address of Contractor
343 Olivewood Rd., Toronto, ON M8Z 2Z6
Name of Certifier
Richard Shaw, RRO, Pretium Engineering Inc.
Address of Certifier
320 Woolwich St. S, Breslau, ON N0B 1M0

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

Wilson Blanchard Management Inc. (Cambridge), 149 Ainslie Street North, Suite 200, Cambridge, ON, N1R 3P4