Form ID

Publication date

Location of premises

Certificate

The Forest

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1419769 Ontario Inc.
Address of Owner
PO Box 231, 47 parkshore Place, Carlisle, ON L0R 1H1
Name of Contractor
Brantford Engineering & Construction Limited
Address of Contractor
Ewart Ave., R.R. #8, Brantford, ON N3T 5M1
Name of Certifier
S. Weslake Inc.
Address of Certifier
10-120 Lancing Drive, Hamilton ON L8W 3A1

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

Part of Lots 5 and 8, Concession 6, Geographical Township of East Flamborough