Form ID

Publication date

Location of premises

Certificate

Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
c/o Del Management Solutions Inc.
Address of Owner
310 Highway No. 7, Green River, R.R. #1, Loonst Hill, ON L0H
Name of Contractor
Industrial Roofing Services Limited
Address of Contractor
582 Rivermede Road Unit 16, Concord, ON L4K 2H5
Name of Certifier
BKM Engineering Services Limited
Address of Certifier
570 Alden Road, Unit 9A, Markham, ON L3R 8N5

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

Del Management Solutions Inc.