Form ID

Publication date

Location of premises

Certificate

Replacement of Roof Section 401 and 402 as per Fishburn Specification dated April 2003

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grand Erie District School Board
Address of Owner
349 Erie Avenue, Brantford, Ontario N3T 5V3
Name of Contractor
Semple-Gooder Roofing Limited
Address of Contractor
1365 Martin Grove Road, Rexdale, ON M9W 4X7
Name of Certifier
Fishburn Building Sciences Group Inc.
Address of Certifier
15391 Steeles Avenue, Hornby, Ontario L0P 1E0

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

Grand Erie District School Board, 349 Erie Avenue, Brantford, Ontario