Form ID

Publication date

Location of premises

Certificate

Roadworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Thornwood Homes (967686 Ontario Inc.).
Address of Owner
8 Main St. East, Hamilton, ON L8N 1E8.
Name of Contractor
Trenchline & Roads Inc.
Address of Contractor
2568 Honsberger Ave., Jordan Station, Ont. L0R 1S0.
Name of Certifier
Philips Engineering Limited.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2

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

Owner - address as above.