Form ID

Publication date

Location of premises

Certificate

Medallion Subdivision, Contract I - Rough Grading

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Medallion Developments Inc.
Address of Owner
970 Lawrence Ave. West, Suite 304, Toronto, ON M6A 3B6
Name of Contractor
TACC Construction Co. Ltd.
Address of Contractor
270 Chrislea Road, Woodbridge, ON L4L 8A8
Name of Certifier
Sernas Associates
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Registered Plan 40M-2174, Town of Ajax

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

Medallion Developments Inc.