Form ID

Publication date

Location of premises

Certificate

The installation of storm and sanitary sewers, watermains and appurtenances and roads to binder asphalt for Harvest Lane Subdivision in the City of Burlington

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Losani Homes (1998) Ltd.
Address of Owner
237 Barton Street East, Suite 201, Stoney Creek, ON L8E 2K4
Name of Contractor
Cecil Shaver Construction Ltd.
Address of Contractor
70 Ewart Ave., Brantford, ON N3T 6M1
Name of Certifier
S. Llewellyn & Associates Limited
Address of Certifier
3228 South Service Road, Suite 105, Burlington, ON L7N 3H8 A

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

Losani Homes (1998) Ltd., 237 Barton Street East, Suite 201, Stoney Creek, ON L8E 2K4 Attention