Form ID

Publication date

Location of premises

Certificate

Site Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Paletta International Corporation
Address of Owner
4480 Paletta Court, Burlington ON L7L 5R2
Name of Contractor
Ontario Pipe Contracting Limited
Address of Contractor
77 Maplecrete Road, Concord, ON L4K 1A5
Name of Certifier
Metropolitan Consulting Inc.
Address of Certifier
2290 Queensway Drive, Burlington, ON L7R 3T2

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

4480 Paletta Court, Burlington ON L7R 5L2