Form ID

Publication date

Location of premises

Certificate

Site preparation, installation of storm and sanitary sewers, watermain installation, and paving of roads to base course asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Whitby (Brock and Rossland) Developments Inc.
Address of Owner
9000 Keele Street, Unit 13, Concord, ON L4K 0B3
Name of Contractor
Pilen Construction of Canada Ltd.
Address of Contractor
22 Cadetta Road, Brampton, ON L6P 0X4
Name of Certifier
Sabourin Kimble & Associates Ltd.
Address of Certifier
110 Old Kingston Road, Pickering Village, Ajax, ON L1T 2Z9

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

Whitby (Brock and Rossland) Developments Inc., 9000 Keele Street, Unit 13, Concord, Ontario, L4K 0B3