Form ID

Publication date

Location of premises

Certificate

Carruther’s Creek Village - Phase III, Contract I - Rough Grading and Environmental Control Measures.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1097467 Ontario Inc.
Address of Owner
80 Tiverton Court, Suite 300, Markham, ON L3R 0G4.
Name of Contractor
Fernview Construction Limited.
Address of Contractor
P.O. Box 33, Bolton, ON L7E 5T1.
Name of Certifier
G.M. Sernas & Associates Limited.
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7.

Identification of Premises

Plan of Subdivision 18T-89104 Part of Lot 6 Range 3, Broken Front Concession (South of Bayly Street, East of Pickering Beach Road, West of Carruther’s Creek), Town of Ajax.

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

1097467 Ontario Inc.