Form ID

Publication date

Location of premises

Certificate

Subdivision Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grey Forest Homes
Address of Owner
1 Keefer Road, St. Catharines, ON L2M 6K4
Name of Contractor
Alfred Beam Excavating Limited
Address of Contractor
1219 Sunset Drive, Fort Erie, ON L2A 5M4
Name of Certifier
Upper Canada Consultants
Address of Certifier
3-30 Hannover Drive, St. Catharines, ON L2W 1A3

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

Grey Forest Homes Ltd.