Form ID

Publication date

Location of premises

Certificate

Overhead door replacement and general renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Haldimand County
Address of Owner
3-100 Haddington Street, Caledonia, ON N3W 2N4
Name of Contractor
Duomax Developments Ltd.
Address of Contractor
3224 Campden Road, Vineland, ON L0R 2C0
Name of Certifier
Kalos Engineering Inc.
Address of Certifier
300 York Boulevard, Hamilton, ON L7R 3K6

Identification of Premises

3224 Campden Road, Vineland, Ontario L0R 2C0

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

Owner - Address as Above