Form ID

Publication date

Location of premises

Certificate

Cracked Brick Repairs & Replacements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London & Middlesex Housing Authority
Address of Owner
Suite 207, 379 Dundas St., London, ON N6B 1V5
Name of Contractor
Benchmark Restorations Inc.
Address of Contractor
14 Grand Ave., Kitchener, ON N2K 1B3
Name of Certifier
Muirtec Inc.
Address of Certifier
PO Box 178, 312 St. Anne Ave., St. Agatha, ON N0B 2L0

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

Muirtec Inc.