Form ID

Publication date

Location of premises

Certificate

Flat Roof Replacement

Date certificate signed:

Participants

Name of Owner
W.N.C.C. No. 147
Address of Owner
c/o M.F. Property Management Ltd. 28 Bett Court, Guelph, ON N1C 0A5
Name of Contractor
Atlas-Apex Roofing
Address of Contractor
390 Trillium Drive, Kitchener, ON N2E 3J3
Name of Certifier
Richard Shaw, RR0, Pretium Anderson Waterloo Inc.
Address of Certifier
320 Woolwich St. S., Breslau, ON N0B 1M0

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

M.F. Property Management Ltd., 28 Bett Court, Guelph, ON, N1C 0A5