Form ID

Publication date

Location of premises

Certificate

Greenwood Subdivision, Site Servicing, Township of Melancthon, County of Dufferin, Contract No. 103292-2

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2033646 Ontario Limited
Address of Owner
6-2400 Dundas Street West, Suite 521, Mississauga ON L5K 2R8
Name of Contractor
Nelson Arnold Construction Ltd.
Address of Contractor
437 138 4th Line Melancthon o/s RR #2, Shelburne, ON L0N 1S6
Name of Certifier
C.C. Tatham & Associates Ltd.
Address of Certifier
115 Hurontario Street, Suite 201, Collingwood, ON L9Y 2L9

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

Owner