Form ID

Publication date

Location of premises

Certificate

Site Servicing & Roadwork

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
SBL Kitchener Inc.
Address of Owner
181 University Avenue, Suite 1413, Toronto, ON M5H 3M7
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
520 Bingemans Centre Drive Kitchener, ON N2B 3X9

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

MTE Consultants Inc.