Form ID

Publication date

Location of premises

Certificate

Bus Simulator Room

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Waterloo
Address of Owner
20 Weber Street E, 3rd Floor, Kitchener, ON N2H 1C3
Name of Contractor
Bestco Construction Ltd.
Address of Contractor
1382 Sandhill Drive, Ancaster, ON L9G 4V5
Name of Certifier
Matthew Bolen
Address of Certifier
24 Laurel St, Waterloo, ON N2J 2H2

Identification of Premises

250 Strasburg Road, Kitchener, Ontario, N2E 3M6

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

20 Weber Street E, 3rd Floor, Kitchener, ON N2H 1C3 (Attn: Jamie Wagler)