Form ID

Publication date

Location of premises

Certificate

Construction of 18-hole golf course & subdivision earthworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sifton Properties Limited
Address of Owner
PO Box 5099, London, ON P1L 1W6
Name of Contractor
Bruce S. Evans Limited
Address of Contractor
P.O. Box 10039 50 Keith Road, Bracebridge ON P1L 1W6
Name of Certifier
Carrick Design Inc.
Address of Certifier
Suite 302 - 255 Duncan Mill Road, Don Mills, ON M3B 3H9

Identification of Premises

Same as above

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

Same as above