Form ID

Publication date

Location of premises

Certificate

Trillium Forest Subdivision - Phase 1 Site Servicing Contract No. 98307 in the Town of Wasaga Beach.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Zancor Development Inc.
Address of Owner
137 Bowes Road, Concord, ON L4K 1H3.
Name of Contractor
Carillion Constructin Canada
Address of Contractor
80 North Queen Street, Toronto, ON M8Z 5Z6.
Name of Certifier
C.C. Tatham & Associates Ltd.
Address of Certifier
115 Hurontario Street, Suite 201, Collingwood, ON L9Y 2L9.

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

Owner.