Form ID

Publication date

Location of premises

Certificate

Hydro Vault Leakage Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Scotch Elms Investments Limited
Address of Owner
c/o Brown Group of Companies Inc., 3910 Chesswood Drive, North York, ON M3J 2W6
Name of Contractor
Valard Construction LP
Address of Contractor
21 Staffern Drive, Concord, ON L4K 2X2
Name of Certifier
Brown & Beattie Ltd.
Address of Certifier
588 Edward Avenue, Unit 49, Richmond Hill, ON L4C 9Y6

Identification of Premises

Plan M946 Blk B, Roll # 1919-04-1-155-02400 0000

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

Owner's Address for Service