Form ID

Publication date

Location of premises

Certificate

Brooklin East phase III, Contract l - Rough Grading

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
BrookValley Developments
Address of Owner
137 Bowes Road, Concord, Ontario L4K 1H3
Name of Contractor
Carillion Construction Canada
Address of Contractor
80 North Queen St., Toronto, ON M8Z 5Z6
Name of Certifier
Sernas Associates
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Part of lot 19, Concession 6, Part of Road Allowance Between Lots 18 & 19, Concession 6

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

BrookValley Developments