Form ID

Publication date

Location of premises

Certificate

All above ground and underground services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Simcoe Canada Land Development
Address of Owner
135 West Beaver Creek, Richmond Hill, ON L4B 4R5
Name of Contractor
Rumball Excavation & Hauling
Address of Contractor
1736 Wilkinson St., Innisfil, ON L9S 1Y3
Name of Certifier
Richardson Foster Ltd.
Address of Certifier
4 Cedar Pointe Drive, Unit L, Barrie, ON L4N 5R7

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

135 West Beaver Creek, Richmond Hill, ON L4B 4R5