Form ID

Publication date

Location of premises

Certificate

Earthworks and Removals

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Delpark Homes (Rossland) Inc.
Address of Owner
8888 Keele Street, Units 13-14, Concord, ON L4K 2N2
Name of Contractor
Conex Ontario Inc.
Address of Contractor
PO Box 78014, Oshawa, ON L1K 0H7
Name of Certifier
SCS Consulting Group Ltd.
Address of Certifier
30 Centurian Drive, Suite 100, Markham, ON L3R 8B8

Identification of Premises

City of Oshawa, Concession 2, Lot 17, Block 1 and 3

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

Delpark Homes (Rossland) Inc., 8888 Keele Street, Units 13-14, Concord, Ontario, L4K 2N2