Form ID

Publication date

Location of premises

Certificate

Wellesley Heights Subdivision, Phase 2B & 2C.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Boban Developments National Limited.
Address of Owner
1201 Ratcliffe Drive, RR #21, Cambridge, ON.
Name of Contractor
Miracle Construction Limited.
Address of Contractor
1042 Parkinson Rd., Woodstock, Ont. N4S 7W3.
Name of Certifier
Len A. Girard Engineering Ltd.
Address of Certifier
266 Main St. E., PO Box 253, Otterville, ON N0J 1R0.

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

Addresses as above.