Form ID

Publication date

Location of premises

Certificate

New Freezer Addition to Highridge Properties.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Highridge Properties Inc.
Address of Owner
33 Highridge Court, Cambridge, ON.
Name of Contractor
Nith Valley Construction.
Address of Contractor
Box 460,
Name of Certifier
The Walter Fedy Partnership.
Address of Certifier
546 Belmont Avenue West, Kitchener, ON N2M 1N5.

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

PO Box 127, Waterloo, ON N2J 3Z9.