Form ID

Publication date

Location of premises

Certificate

Willet Green Miller Centre

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
933 Ramsey Lake Road, Sudbury, ON
Name of Contractor
Metal-Air Mechanical Systems LTD.
Address of Contractor
2828 Belisle Dr., P.O. Box 94, Val Caron, ON
Name of Certifier
Tim Janzen
Address of Certifier
477 Queen Street East, Suite 204

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

Metal-Air Mechanical Systems