Form ID

Publication date

Location of premises

Certificate

Internal Works - Site Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Crisdawn Construction Inc.
Address of Owner
27 Clapperton Street, Barrie, ON L4M 3E6
Name of Contractor
Niran Construction Ltd.
Address of Contractor
333 Humberline Drive, Toronto, ON M9W 5X3
Name of Certifier
R.J. Burnside & Associates Limited, Tom Hardy
Address of Certifier
128 Wellington Street West Suite 301, Barrie, ON L4N 8J6

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

27 Clapperton Street, Barrie, ON L4M 3E6