Form ID

Publication date

Location of premises

Certificate

Works to top course asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Weldan Properties Inc.
Address of Owner
2212 Oneida Court, Mississauga, ON L5C 1V6
Name of Contractor
Con-Ker Construction Corporation
Address of Contractor
860 Progress Court, Oakville, ON L6L 6K1
Name of Certifier
Trafalgar Engineering Ltd.
Address of Certifier
481 Morden Road, Suite #1, Oakville, ON L6K 3W6

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

Owner