Form ID

Publication date

Location of premises

Certificate

HVAC Repair/ Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corp.
Address of Owner
1 Stone Rd. West, Guelph, ON
Name of Contractor
Besseling Mechanical Inc.
Address of Contractor
PO Box 66541, Stoney Creek, ON L8G 5E5
Name of Certifier
Morrison Hershfield
Address of Certifier
235 Yorkland Blvd., Suite 600, Toronto, ON M2J 1T1

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

1 Stone Rd. West, Guelph, ON