Form ID

Publication date

Location of premises

Certificate

Contract I - Underground Servicing and Contract II - Internal and External Roadworks (Year 1).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Genesis Building Corporation.
Address of Owner
40 Sheppard Avenue West, Suite 610, North York, ON M2N 6K9.
Name of Contractor
Memme Excavation Co. Ltd.
Address of Contractor
1315 Shawson Drive, Mississauga, Ont. L4W 1C4.
Name of Certifier
G.M. Sernas & Associates Limited.
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7.

Identification of Premises

Parts 1 to 6, Reference Plan 65R-18164 (9385 Yonge Street).

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

Genesis Building Corporation.