Form ID

Publication date

Location of premises

Certificate

Contract IV - Road Top Works.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Terrace Glen Inc.
Address of Owner
1815 Ironstone Manor, Unit 1, Pickering ON L1W 3W9
Name of Contractor
Fernview Construction Ltd.
Address of Contractor
P.O. Box 33, Bolton, ON L7E 5T1
Name of Certifier
Earth Tech Canada Inc.
Address of Certifier
105 Commerce Valley Drive West, Markham, ON L3T 7W3

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

Terrace Glen Inc, 1815 Ironstone Manor, Unit 1, Pickering ON L1W 3W9