Form ID

Publication date

Location of premises

Certificate

Final Roads including Asphalt and Curb & Gutter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fruitbelt Development
Address of Owner
1701 Thorold Townline Road, Niagara Falls, ON L2E 6S5
Name of Contractor
Rankin Construction Inc.
Address of Contractor
222 Martindale Road, PO Box 1116, St. Catharines, ON L2R 7A3
Name of Certifier
Upper Canada Planning & Engineering
Address of Certifier
3-30 Hannover Drive, St. Catharines, ON L2W 1A3

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

Fruitbelt Development