Form ID

Publication date

Location of premises

Certificate

Underground Primary, Secondary and Streetlight Distribution System Installation project known as: Black Ash Meadows Residential Subdivision

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1540135 Ontario Ltd. c/o Hulst Town Contracting Ltd.
Address of Owner
3001 Country Road 4, Bradford, ON L3Z 2A9
Name of Contractor
Robert B. Somerville
Address of Contractor
13176 Dufferin Street, King City, ON L7B 1K5
Name of Certifier
DaTom Group Ltd.
Address of Certifier
157 Brule Trail, Kettleby, ON L0G 1J0

Identification of Premises

Part of Lot 42, Concession 10, Town of Collingwood, County of Simcoe

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

DaTom Group Ltd., 157 Brule Trail, Kettleby, Ontario L0G 1J0