Form ID

Publication date

Location of premises

Certificate

Site Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
High Glen Properties
Address of Owner
Suite 500, 370 King Street W. Toronto M5V 1J9
Name of Contractor
1148044 Ontario Ltd., Cambria Design Build
Address of Contractor
1260 Journey's End Circle, Unit #4, Newmarket, ON L3Y 7V1
Name of Certifier
Jacob Hershkovich & Strybos Associates Ltd.
Address of Certifier
Suite 500, 370 King Street W. Toronto M5V 1J9

Identification of Premises

Part of Lot 33 & 34, Con 2. F.H.R., Humber 27 Plaza at 106 Humber College Blvd., Toronto

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

High Glen Properties c/o Graywood Developments Ltd. Suite 500 370 King Street W., Toronto M5V 1J9