Form ID

Publication date

Location of premises

Certificate

Rivergrass Phase II, Site Services, Town of the Blue Mountains, County of Grey, Contract No. 101212-2

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
606849 Canada Inc.
Address of Owner
1407 De La Montagne, Montreal QC H3G 1Z3
Name of Contractor
Georgian Aggregates & Construction Inc.
Address of Contractor
P.O. Box 340, Collingwood ON L9Y 3Z7
Name of Certifier
C.C. Thatham & Associates Ltd.
Address of Certifier
115 Hurontario Street, Stuie 201, Collingwood ON L9Y 2L9

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

Owner.