Form ID

Publication date

Location of premises

Certificate

Collegiate Drive, top lift asphalt, Rynard Farm Subdivision, City of Orillia (Contract 90053).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mark Rich Homes.
Address of Owner
7 Sunset Crescent, R.R. #2, Orillia, ON L3V 6H2.
Name of Contractor
K.J. Beamish Construction.
Address of Contractor
PO Box 2177, Orillia, ON L3V 6S1.
Name of Certifier
C.C. Tatham & Associates Ltd.
Address of Certifier
50 Andrew Street South, Unit 202, Orillia, ON L3V 7T5

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

Owner.