Form ID

Publication date

Location of premises

Certificate

Townhouse Condominium Project, Site Servicing, Brantford, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shellard Developments Inc.
Address of Owner
900-357 Bay St., Toronto, ON M5H 2T7
Name of Contractor
Terracon Underground Limited
Address of Contractor
P.O. Box 1561, Papple Road, Brantford, ON N3T 5P9
Name of Certifier
J.H. Cohoon Engineering Limited
Address of Certifier
440 Hardy Road, Unit 1, Brantford, ON N3T 5L8

Identification of Premises

Part 1, 2 & 3 on 2R-5413 save and except 2M-1848 within the City of Brantford

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

Shellard Developments Inc., 900-357 Bay St., Toronto, ON M5H 2T7