Form ID

Publication date

Location of premises

Certificate

Roofing Replacement Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
MCC 119 c/o Highpoint Property Management
Address of Owner
323 Colborne Street, London, ON N6B 3N8
Name of Contractor
B Serra &Sons Roofing Inc.
Address of Contractor
53 Carson Street, Toronto, ON M8W 3S1
Name of Certifier
Enerplan Building Consultants (a division of Synergon Incorporated)
Address of Certifier
69 Judson Street, Toronto, ON M8Z 1A4

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

323 Colborne Street, London, Ontario, N6B 3N8