Form ID

Publication date

Location of premises

Certificate

Site Removals and Earthworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The New VR, Division of Chum Ltd.
Address of Owner
P.O. Box 519, 33 Beacon Hill Road, barrie, ONtario L4M 4T9
Name of Contractor
Corm Construction Sewer and Watermain Ltd.
Address of Contractor
165 Artesian Industrial Parkway, Bradford, ON L3Z 2B5
Name of Certifier
Skelton, Brunwell & Associates Inc.
Address of Certifier
151 Ferris LAne, Suite 300, Barrie,Ontario L4M 6C1

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

Skelton, Brunwell & Associates Inc., 151 Ferris LAne, Suite 300, Barrie,Ontario L4M 6C1