Form ID

Publication date

Location of premises

Certificate

road widening, concrete box culvert extension and guide rail installation on Highway #26

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Tanglewood (Sierra Homes) Inc., Attention: Mr. Morris Kansun
Address of Owner
8965 Woodbine Ave., Markham, ON L9Y 3Z7
Name of Contractor
Georgian Paving and Construction (A Division of Walker Industries Inc.)
Address of Contractor
P.O Box 340, Collingwood, ON L9Y 3Z7
Name of Certifier
C.F. Crozier & Associates Inc.
Address of Certifier
110 Pine Street, Collingwood, ON L9Y 2N9

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

C.F. Crozier & Associates Inc.