Form ID

Publication date

Location of premises

Certificate

Complete servicing of up to and including base asphalt.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Letizia Homes Ltd.
Address of Owner
18 Brownlee Dr., Bradford, ON L3Z 2A4.
Name of Contractor
Hulst Town Contracting Ltd.
Address of Contractor
P.O. Box 400, Bradford, Ont. L3Z 2A9.
Name of Certifier
A.M. Candaras Asociates Inc.
Address of Certifier
8400 Jane Street, Concord, ON L4K 4L8.

Identification of Premises

43T-95026.

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

Letezia Homes Ltd.