Form ID

Publication date

Location of premises

Certificate

Pineridge Subdivision, Stonehedge Close, Contract No. 98-5714.5-01.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Penex Gravenhurst Ltd.
Address of Owner
c/o Carnell Management, PO Box 35, 370 King Street West, Sui
Name of Contractor
Coon Bros. Sand & Gravel (1988) Ltd.
Address of Contractor
Box 610, District Rd. #41 North, Gravenhurst, ON P1P 1T9
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
6-4 Dominion Street, Bracebridge, ON P1L 2A6.

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

PO Box 35, 370 King Street West, Suite 530, Toronto, ON M5V 1J9.