Form ID

Publication date

Location of premises

Certificate

Holly Drive, Contract I - Rough Grading, Contract II - Underground Servicing and Contract III - Internal Roadworks (Base Works)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
112371 Ontario Limited
Address of Owner
7050 Weston Road, Suite 303, Woodbridge, ON L4L 8G7
Name of Contractor
Hollingworth Construction Co.
Address of Contractor
41 Cardico Drive, Box 424, Gormley, ON L0H 1G0
Name of Certifier
Sernas Associates
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Plan of Subdivision 19T(R) - 00003 Part of Lots 24 & 25 Concession 2, E.Y.S. Town of Richmond Hill

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

112371 Ontario Limited