Form ID

Publication date

Location of premises

Certificate

Replacement and associated repairs of RSs 101, 102, 103, 201 & Canopies 104 & 105 per Fishburn Specification dated July 2004

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grand Erie District School Board
Address of Owner
349 Erie Ave., Brantford, ON N3T 5V3
Name of Contractor
Atlantic Roofers Ontario Ltd.
Address of Contractor
130 Brockley Drive, Hamilton, ON L8E 3C5
Name of Certifier
Fishburn Building Sciences Group Inc.
Address of Certifier
15391 Steeles Ave., Hornby, ON L0P 1E0

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

Grand Erie District School Board, 349 Erie Ave., Brantford, ON N3T 5V3