Form ID

Publication date

Location of premises

Certificate

Street Tree Planting

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
United Castlepoint South Inc.
Address of Owner
8500 Leslie Street, Suite 380, Thornhill, ON L3T 7M8
Name of Contractor
Hermanns Contracting Ltd.
Address of Contractor
1510 Hwy #27, R.R. #1, Schomberg, ON L0G 1T0
Name of Certifier
Paul Cosburn Associates Ltd.
Address of Certifier
20 Crown Steel Drive, Suite 2 Markham ON L3R 9X9

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

8500 Leslie Street, Suite 380, Thornhill, ON L3T 7M8