Form ID

Publication date

Location of premises

Certificate

Asphalt Pavement Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
W.C.C. No. 23
Address of Owner
c/o M.F. Property Management Ltd. 28 Bett Court, Guelph, ON N1C 0A5
Name of Contractor
Melrose Paving Co. Ltd.
Address of Contractor
3540 Hawkestone Road, Mississauga, ON L5C 2V2
Name of Certifier
Michael Piccin, M.A.Sc., P.Eng.
Address of Certifier
Pretium Engineering Inc. 320 Woolwich St. S Breslau, ON N0B 1M0

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

M.F. Property Management Ltd. 28 Bett Court, Guelph, ON, N1C 0A5