Form ID

Publication date

Location of premises

Certificate

Gravel entrance roadway from North Service Road and gravel parking lot including storm drainage facilities

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Niagara Under Glass Inc.
Address of Owner
PO Box 10, Vineland, ON L0R 2C0
Name of Contractor
Trenchline & Roads Inc.
Address of Contractor
2568 Honsberger Ave., Jordan Station, Ont. L0R 1S0.
Name of Certifier
Quartek Group Inc.
Address of Certifier
360 York Road, Unit C5, R.R. #4, Niagara-on-the-Lake, ON L0S

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

Niagara Under Glass Inc. (see mailing address above)