Form ID

Publication date

Location of premises

Certificate

Contract No. 99042-00-1 Prince Albert Heights Construction of Stage I Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
124055 Ontario Inc.
Address of Owner
1111 Creditstone Road, Concord ON L4K 4N7
Name of Contractor
Miwel Construction Limited
Address of Contractor
P.O. Box 1269, Stouffville, ON L4A 8A2
Name of Certifier
D.G. Biddle & Associates Limited
Address of Certifier
96 King Street East, Oshawa, ON L1H 1B6

Identification of Premises

Part of Lot 25, Block “B” Reg. PLan H-50025 and Part of Lot 16, Concession 4, Township of Scugog

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

Same as owner