Form ID

Publication date

Location of premises

Certificate

Kingsview Estates, Contract I - Highway 35 Road Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
CCCC Balsam Ltd.
Address of Owner
1029 McNicoll Avenue, Scarborough, ON M1W 3W6
Name of Contractor
Royal Paving
Address of Contractor
3665 Highway #35 North, Box 418, Lindsay, ON K9V 4S3
Name of Certifier
Sernas Associates, A Member of The Sernas Group Inc.
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

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

CCCC Balsam Ltd.