Form ID

Publication date

Location of premises

Certificate

Garbage Compactor Room Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wittington Properties Limited
Address of Owner
22 St. Clair Avenue East, Suite 400, Toronto, ON M4T 2S3
Name of Contractor
Polymeric Engineering Limited
Address of Contractor
181 Rutherford Road South, Unit #7, Brampton, ON L6W 3P4
Name of Certifier
Gulesserian Associates Inc.
Address of Certifier
255 Duncan Mill Road, Suite 509, North York, ON M3B 3H9

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

To the Owner Listed Above