Form ID

Publication date

Location of premises

Certificate

Contract 3 Top Asphalt and Above Ground Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Tenstone Developments Inc.
Address of Owner
4110 Yonge Street, Suite 602, Willowdale, ON M2P 2B7
Name of Contractor
Niran Construction Ltd.
Address of Contractor
333 Humberline Drive, Rexdale, ON M9W 5X3
Name of Certifier
David Schaeffer Engineering Ltd.
Address of Certifier
610 Alden Road, Suite 201, Markham, ON L3R 9Z1

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

See Name of Owner Above