Form ID

Publication date

Location of premises

Certificate

Labour and materials other than masonry block at the new plaza being constructed at 3275 Monarch Drive, Orillia (Between Wal-Mart and Home Depot)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Charter Construction Limited
Address of Owner
PO Box 2088, Orillia, ON L3V 6R9
Name of Contractor
Burling Ranger Company Inc.
Address of Contractor
7351 10 Side Road Innisfil ON L9S 4S9
Name of Certifier
Slavish Building Services Group
Address of Certifier
22 West Street South, Orillia, ON L3V 5G3

Identification of Premises

3275 Monarch Drive, Orillia, ON L3V 6R9

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

Slavish Building Services Group, 22 West Street South, Orillia, ON L3V 5G3