Form ID

Publication date

Location of premises

Certificate

Interior Building Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hatch Co.
Address of Owner
1075 North Service Road, Oakville, ON
Name of Contractor
T.A. Clarke and Associates Inc.
Address of Contractor
760 Pacific Road, Oakville, ON L6L 6M5
Name of Certifier
David Spencer, T.A. Clarke and Associates Inc.
Address of Certifier
760 Pacific Road, Oakville, ON L6L 6M5

Identification of Premises

1075 North Service Road West, Plan M246 Blks 2, 3, Units 17, 18, 19, 20, 21

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

T.A. Clarke and Associates Inc.