Form ID

Publication date

Location of premises

Certificate

Item #5 Heavy Earth Moving.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Willow Valley Golf
Address of Owner
2907 Hwy 6 South, Mount Hope, ON L0R 1W0.
Name of Contractor
A.S.L. Golf.
Address of Contractor
P.O. Box 489, Osgoode, ON K0A 2W0.
Name of Certifier
G.C.A. (Phil Marcoux).
Address of Certifier
277 Lakeshore Road, Suite #8, Pointe Claire, Qc H9S 4L2.

Identification of Premises

Firstly Pt Lot 6 Conc 4 Part 1 62R-14702 Secondly Pt Lot 7 Conc 4 Part 1 62R-9886