Form ID

Publication date

Location of premises

Certificate

Caulking Work.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1392275 Ontario Inc.
Address of Owner
c/o Best Western Roehampton Hotel, 808 Mount Pleasant Road,
Name of Contractor
Pop’s Professional Caulking Ltd.
Address of Contractor
1986 Bough Beeches Blvd., Mississauga, Ont. L4W 2J9.
Name of Certifier
Lomax Management Inc.
Address of Certifier
4560 Dixie Road, Unit D, Mississauga, Ont. L4W 1N2.

Identification of Premises

Part of Block 2, Registered Plan 65M-2665.