Form ID

Publication date

Location of premises

Certificate

PH Nineten Subdivision Site Grading and Pond Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
PH Nineten Limited
Address of Owner
259 Yorkland Road, Suite 300, North York, ON M2J 5B2
Name of Contractor
H. Davis Construction Ltd.
Address of Contractor
12151 Airport Road, R.R. #5, Caledon East, ON L0N 1E0
Name of Certifier
Charlton Eingeering Limited
Address of Certifier
1140 Burnhamthorpe Road West, Suite 105, Mississauga, ON L5C

Identification of Premises

PH Nineten Subdivision Phase 1, Town of Orangeville

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

PH Nineten Limited