Form ID

Publication date

Location of premises

Certificate

Flat Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Waterloo
Address of Owner
50 Queen Street North, 7th Floor, Kitchener, ON N2H 6P4
Name of Contractor
Palmer Roofing & Insulation Ltd.
Address of Contractor
1004 Industrial Crescent, PO Box 309, St. Clements, ON N0B 2
Name of Certifier
Peter Meyer, C.E.T.
Address of Certifier
Pretium Anderson Waterloo Inc., 320 Woolwich Street South, B

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

Regional Municipality of Waterloo, 50 Queen Street North, 7th Floor, Kitchener, ON N2H 6P4