Form ID

Publication date

Location of premises

Certificate

Site Remedial Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
YRCC 954 c/o Eastern Ontario Property Management Group
Address of Owner
Box 707, Prescott, ON K0E 1T0
Name of Contractor
Nurock Contracting Ltd.
Address of Contractor
64 Shaft Road, Toronto, ON M9W 4M2
Name of Certifier
Enerplan Building Consultants (a division of Synergon Incorporated)
Address of Certifier
69 Judson Street, Toronto, ON M8Z 1A4

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

Box 707, Prescott, Ontario, K0E 1T0