Form ID

Publication date

Location of premises

Certificate

Site Servicing and Road Works.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Country Club Estates (Cambridge) Ltd.
Address of Owner
c/o McCarter Grespan Robson Beynon, 675 Riverbend Drive, Kit
Name of Contractor
Prior Construction Corporation.
Address of Contractor
R.R. #3, Guelph, Ont. N1H 6H9.
Name of Certifier
MTE Consultants Inc.
Address of Certifier
650 Riverbend Drive, Kitchener, ON N2K 3S2

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

MTE Consultants Inc.