Form ID

Publication date

Location of premises

Certificate

August 29, 2002.

Date certificate signed:

Participants

Name of Owner
Vincenzo Pronesti et al.
Address of Owner
91 Southview Drive, Concord, Ont. L4K 2K8.
Name of Contractor
Rom-Neg Construction Inc.
Address of Contractor
R.R. #4, Tottenham, ON L0G 1W0

Identification of Premises

PCL, 29-2 Sec V3 Pt. Lot 29, Con. 3, PIN 03343-0003

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

LRO #65 at Newmarket.