Form ID

Publication date

Location of premises

Certificate

Dunbury Meadows, Contract 1 - Rough Grading.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lizjan Developments Inc.
Address of Owner
3845 Bathurst Street, Suite 103, Downsview, Ont. M3H 3N2.
Name of Contractor
Fernview Construction Limited
Address of Contractor
P.O. Box 33, Bolton, ON L7E 5T1
Name of Certifier
Sernas Associates
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Registered Plan No. 40M-2096, Municipality of Clarington.

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

Lizjan Developments Inc.