Form ID

Publication date

Location of premises

Certificate

Sanitary and Water Servicing Incl. Culverts.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Danbrook & Grath Incorporated.
Address of Owner
40 The Queensway S., PO Box 249, Keswick, ON L4P 2E1.
Name of Contractor
Germag Construction Ltd.
Address of Contractor
R.R. #1, Oakwood, ON K0M 2M0.
Name of Certifier
A.M. Candaras Associates Inc.
Address of Certifier
8400 Jane Street, Concord, ON L4K 4L8

Identification of Premises

Parts 9 & 15, Plan 65R-21138

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

Danbrook & Grath Inc.