Form ID

Publication date

Location of premises

Certificate

Renovations to existing building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Canadian Waste Services
Address of Owner
290 Exeter Road, London, Ontario
Name of Contractor
Ross Clair/Division of R.O.M. Contractors
Address of Contractor
25 Curity Avenue, Unit 4, Toronto, ON M4B 3M2
Name of Certifier
George Molnar
Address of Certifier
290 Exeter Road, London, Ontario N6L 1A3

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

Canadian Waste Services, 290 Exeter Road, London, ON N6L 1A3