Form ID

Publication date

Location of premises

Certificate

Underground Primary, Secondary and Streetlight Distribution System Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hedbern Development Corp.
Address of Owner
1833 Quantz Crescent, Innisfil, ON L9S 1X2
Name of Contractor
Robert B. Somerville
Address of Contractor
13176 Dufferin Street, King City, ON L7B 1K5
Name of Certifier
Datom Group Ltd.
Address of Certifier
8 Skaha Court, Richmond Hill, ON L4C 9R8

Identification of Premises

Registered Plan # 51M-846

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

Datom Group Ltd., 8 Skaha Court, Richmond Hill, Ontario L4C 9R8