Form ID

Publication date

Location of premises

Certificate

Site earthworks and servicing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
World Custom Homes Inc.
Address of Owner
8700 Dufferin Street, Concord, ON L4K 4S6.
Name of Contractor
Con-Drain Company (1983) Limited.
Address of Contractor
30 Floral Parkway, Concord, ON L4K 4R1.
Name of Certifier
Cosburn Patterson Mather Limited.
Address of Certifier
7270 Woodbine Avenue, Suite 300, Markham, ON.

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

World Custom Homes Inc., 8700 Dufferin Street, Concord, ON L4K 4S6.