Form ID

Publication date

Location of premises

Certificate

Contract IV - Roadworks - Remaining Top Asphalt.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Intracorp Acquisitions (Ontario) Ltd.
Address of Owner
C/O Intracorp Developments Limited, Suite 500, 36 York Mills
Name of Contractor
Pilen Construction of Canada Limited.
Address of Contractor
R.R. #9, 22 Cadetta Road, Brampton, Ont. L6T 3Z8.
Name of Certifier
G.M. Sernas & Associates Limited
Address of Certifier
141 Brunel Road, Mississauga, Ontario L4Z 1X3.

Identification of Premises

Plan of Subdivision 43M-1228, Highland Forest Subdivision, City of Mississauga.

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

Intracorp Acquisitions (Ontario) Ltd.