Form ID

Publication date

Location of premises

Certificate

Construction of Municipal Services.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Highland West Developments Inc.
Address of Owner
628 Regal Road, Waterloo, Ont. N2V 2G3.
Name of Contractor
Prior Construction Corporation
Address of Contractor
R.R. #3, Guelph, ON N1H 6H9
Name of Certifier
Cumming Cockburn Limited.
Address of Certifier
180 King Street South, Waterloo, Ont. N2J 1P8.

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

Highland West Developments Inc., 628 Regal Road, Waterloo, Ont. N2V 2G3.