Form ID

Publication date

Location of premises

Certificate

Computer Room Air Conditioning

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Simcoe Board of Education
Address of Owner
Hwy. 26, Midhurst, ON L0L 1X0
Name of Contractor
H.S. St. Amant & Sons Inc.
Address of Contractor
39 Robert Street West, Penetanguishene, ON L9M 1M5
Name of Certifier
John Van Adrichem (P.Eng.)
Address of Certifier
2829 Creemore Ave., R.R. #1, New Lowell, ON

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

Simcoe County Board of Education