Form ID

Publication date

Location of premises

Certificate

3037m2 Addition

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
South Medic Inc.
Address of Owner
50 Alliance Boulevard, Barrie ON
Name of Contractor
Penman Construction Ltd.
Address of Contractor
17 Briarwood Court, Midhurst, ON
Name of Certifier
Ian S. Malcolm Architect
Address of Certifier
178 Bayfield Street, Barrie, ON

Identification of Premises

Part Lots 8 & 9 Plan M3 As Parts 1, 2, 3 & 4 51R 10167, Barrie

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

Simcoe County Registry Office