Form ID

Publication date

Location of premises

Certificate

Construction of Walkway.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Country Club Estates Ltd.
Address of Owner
675 Riverbend Drive, Kitchener, Ont. N2K 3S3.
Name of Contractor
Percon Excavating Inc.
Address of Contractor
R.R. #1, Milverton, Ont. N0K 1M0.
Name of Certifier
MTE Consultants.
Address of Certifier
650 Riverbend Drive, Kitchener, Ont. N2K 3S2.

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

MTE Consultants.