Form ID

Publication date

Location of premises

Certificate

Municipal Servicing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jodamar Properties Ltd.
Address of Owner
RR #6, Bloomfield Road, Chatham, ON N7M 5J6.
Name of Contractor
Henry Heyink Construction Ltd.
Address of Contractor
PO Box 1341, 275 Colborne Street, Chatham, ON N7M 4R9.
Name of Certifier
Sullo Associates Ltd.
Address of Certifier
440 Park Avenue West, Chatham, ON N7M 1X2.

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

Jodamar Properties Ltd., RR #6, Bloomfield Road, Chatham, ON N7M 5J6.