Form ID

Publication date

Location of premises

Certificate

Hurd Street, Contract I - Rough Grading and Contract II - Roadworks (Year 1)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
William D. Little
Address of Owner
30 Baldwin Street, PO Box 386, Brooklin, ON L0B 1C0
Name of Contractor
Ron Robinson Limited
Address of Contractor
3075 Maplegrove Road, Bowmanville, Ont. L1C 3K4.
Name of Certifier
G.M. Sernas & Associates Ltd.
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Registered Plan 40R-19867, Parts 1 to 4 inclusive, Hurd Street, City of Oshawa.

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

William D. Little