Form ID

Publication date

Location of premises

Certificate

Ann Arbor Subdivision Wasaga Beach, Ontario Contract No. 98331 Phase 1 Site Preparation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Silver Birch Estates (Wasaga Beach) Inc.
Address of Owner
1140 Sheppard Avenue West, Unit 12, Toronto, ON M3K 2A2
Name of Contractor
Arnott Construction Limited
Address of Contractor
125 Ferndale Drive North, Barrie, ON L4M 4S4
Name of Certifier
C.C. Tatham & Associates Ltd.
Address of Certifier
115 Hurontario Street, Suite 201, Collingwood, ON L9Y 2L9

Identification of Premises

Ann Arbor Subdivision, Lot 1, Concession 15, Town of Wasaga Beach, County of Simcoe

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

Owner