Form ID

Publication date

Location of premises

Certificate

201 Lot Residential Project, Site services up to and including base asphalt and curb

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Innisbrook Developments Inc.
Address of Owner
18 Brownlee Drive, R.R. #1, Bradford, ON L3Z 2A4
Name of Contractor
Hulst Town Contracting
Address of Contractor
P.O. Box 400, Bradford, ON L3Z 2A9
Name of Certifier
A.M. Candaras Associates Inc.
Address of Certifier
8551 Weston Rd., Suite 203, Woodbridge, ON L4L 9R4

Identification of Premises

43T-88003

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

18 Brownlee Drive, R.R. #1, Bradford, ON L3Z 2A4