Form ID

Publication date

Location of premises

Certificate

Ministry of Natural Resources, District Office, Minden, Ontario Review of HVAC System Project No.: W30019

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
D.S.M. Air Ltd.
Address of Contractor
PO Box 40, Alliston, ON L9R 1T9
Name of Certifier
Mr. Reg Vincent
Address of Certifier
14 Gable Lane, South Cottage Kingston ON K7M 9A7

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley West, 12th Floor, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3