Form ID

Publication date

Location of premises

Certificate

Le Scandinave Spa Site Servicing, Town of The Blue Mountains, County of Grey, Contract No. 105023

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
6352987 Canada Ltd.
Address of Owner
P.O. Box 890, Thornbury, ON N0H 2P0
Name of Contractor
1288808 Ontario Ltd.
Address of Contractor
P.O. Box 193, Collingwood, ON L9Y 3V2
Name of Certifier
C.C. Tatham & Associates Ltd.
Address of Certifier
115 Sanford Fleming, Suite 200, Collingwood, ON L9Y 5A6

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

Owner