Form ID

Publication date

Location of premises

Certificate

Completion of underground works and roads to base course asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2144720 Ontario Limited
Address of Owner
115 Hurontario Street, Suite 401, Collingwood, ON L9Y 2L9
Name of Contractor
E.C. King Contracting
Address of Contractor
Box 457, 2125 20th Avenue East, Owen Sound, ON N4K 5P7
Name of Certifier
C.F. Crozier & Associates Inc.
Address of Certifier
110 Pine Street, Collingwood, ON L9Y 2N9

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

C.F. Crozier & Associates Inc., 110 Pine St., Collingwood, ON L9Y 2N9