Form ID

Publication date

Location of premises

Certificate

Windows, Doors and Eavestrough Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hellenic Community of K-W
Address of Owner
560 Greenfield Avenue, Kitchener, ON N2C 2M2
Name of Contractor
Way-Mar Inc.
Address of Contractor
3585 Ament Line, Wallenstein, ON N0B 2S0
Name of Certifier
Mike Piccin, M.A.Sc., P. Eng., Pretium Anderson Waterloo Inc.
Address of Certifier
320 Woolwich Street South, Breslau, ON N0B 1M0

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

Hellenic Community of K-W, 560 Greenfield Avenue, Kitchener, ON N2C 2M2