Form ID

Publication date

Location of premises

Certificate

Project Name: Our Lady of Fatima CES Renovations, Project Number: 1801

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Our Lady of Fatima CES Renovations
Address of Owner
55 Hammet St. Cambridge, ON
Name of Contractor
Dakon Construction Ltd.
Address of Contractor
Unit 1 - 275 Frobisher Dr, Waterloo, ON
Name of Certifier
Randy R. Wilson, B. F. A., M.E.Des., M.R.A.I.C.
Address of Certifier
280 Queens Ave., Suite 1Q, London, ON N6B 1X3

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

480 Dutton Drive, Waterloo, Ontario N2L 4C6