Form ID

Publication date

Location of premises

Certificate

Pregrading of Binbrook Gardens, Township of Glanbrook

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Rob-Geof Properties Ltd.
Address of Owner
c/o A.J. Clarke and Associates Ltd., 25 Main Street West, Su
Name of Contractor
J. Tolman Excavating Ltd.
Address of Contractor
R.R. 2, Scotland, ON N0E 1R0.
Name of Certifier
A.J. Irani, P.Eng.
Address of Certifier
25 Main St. West, Suite 300, Hamilton, ON L8P 1H1

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

Attn