Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Marz Home (Garner) Inc.
Address of Owner
c/o A. J. Clarke and Associates Ltd., 300-25 Main Street West, Hamilton, ON L8P 1H1
Name of Contractor
Trenchline & Roads Inc.
Address of Contractor
4637A Bartlett Road, Beamsville, ON L0R 1B1
Name of Certifier
Jennifer Clarke, P.Eng.
Address of Certifier
300-25 Main Street West, Hamilton, ON L8P 1H1

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

Marz Homes (Garner) Inc Attn Mr. Dan Gabriele Address: 825 North Service Road, Suite 200, Stoney Creek L8E 0J7 Ontario