Form ID

Publication date

Location of premises

Certificate

Roof Repairs.

Date substantially performed:
Date certificate signed:

Participants

Name of Contractor
Simluc Roofing and Sheet Metal.
Address of Contractor
2550 Blackwell St., Ottawa, ON K1B 5R1.
Name of Certifier
Morrison Hershfield Ltd.
Address of Certifier
2440 Don Reid Drive, Ottawa, ON K1H 1E1.
Name of Owner
Lanark County.
Address of Owner
Box 37, Sunset Blvd., Perth, ON K7H 3E2.

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

Box 37, Sunset Blvd., Perth, ON K7H 3E2.