Form ID

Publication date

Location of premises

Certificate

Tepperman's Renovations - Chatham

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
N. Tepperman Limited
Address of Owner
2595 Ouellette Ave., Windsor, ON N8X 4V8
Name of Contractor
Michael & Clark Construction
Address of Contractor
6447 Westminster Drive, London, ON N6P 1N5
Name of Certifier
Wasylko Architect Inc.
Address of Certifier
370 Queens Avenue, London, ON N6B 1X6

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

2595 Ouellette Ave., Windsor, Ontario, N8X 4V8