Form ID

Publication date

Location of premises

Certificate

Landscape Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brighton Beach Power
Address of Owner
100 Chappus St., Windsor, ON N9C 4J3
Name of Contractor
Quinlan Inc.
Address of Contractor
R.R. #2, Maidstone, ON N0R 1K0
Name of Certifier
Brian Roth
Address of Certifier
207 King St. S., Suite 2A, Waterloo, ON N2J 1R1

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

100 Chappus St., Windsor, ON N9C 4J3