Form ID

Publication date

Location of premises

Certificate

Construction of underground services and roadwork

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Monarch Corporation
Address of Owner
2025 Sheppard Ave. East, Toronto, ON M2J 1V7
Name of Contractor
Omega Contracting Inc.
Address of Contractor
4104 Breck Avenue, London, ON N6L 1B5
Name of Certifier
KMK Consultants Limited, per S. Winchester, P. Eng.
Address of Certifier
509 Mill Street, Kitchener, ON N2G 2Y5

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

Owner
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