Form ID

Publication date

Location of premises

Certificate

Underground Services & Road Construction to “B” Gravel.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jim Gles.
Address of Owner
345 Meadowvale Place, Waterloo, Ont. N2K 3P8.
Name of Contractor
Sierra Construction (Woodstock) Limited.
Address of Contractor
1401 Dundas Street East, PO Box 20053 Woodstock, ON N4S 8X8.
Name of Certifier
MTE Consultants Inc.
Address of Certifier
650 Riverbend Drive, Kitchener, Ont. N2K 3S2.

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

MTE Consultants Inc.