Form ID

Publication date

Location of premises

Certificate

Site Grading and Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
747877 Ontario Ltd.
Address of Owner
8 Lakeside Drive, R.R. #2, Puslinch, ON N0B 2J0
Name of Contractor
G. Melo Excavating Ltd.
Address of Contractor
12 Corydon Place Cambridge, ON N1R 7L5
Name of Certifier
MTE Consultants Inc.
Address of Certifier
650 Riverbend Drive, Kitchener, ON N2K 3S2

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

MTE Consultants Inc.