Form ID

Publication date

Location of premises

Certificate

Jefferson Forest Pond Cleaning

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Richmond Hill Jefferson Forest
Address of Owner
2700 Dufferin St., Unit 34, Toronto, ON M6B 4J3
Name of Contractor
Ontario Excavac Inc.
Address of Contractor
550 Bowes Rd, Concord, ON L4K 1K2
Name of Certifier
Cole Engineering Group Ltd.
Address of Certifier
70 Valleywood Drive, Markham, ON L3R 4T5

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

Richmond Hill Jefferson Forest, c/o Mr. Nathaniel Lai 2700 Dufferin St., Unit 34, Toronto, ON M6B 4J3