Form ID

Publication date

Location of premises

Certificate

FORM 7
SUBSECTION 33
(1) OF THE ACT
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This is to certify the completion of a subcontract for the supply of services or materials between
Pilot Construction and Maystar General Contractors Inc. dated the 10th day of December 2001
The subcontract provided for the supply of the following services of materials
and site services required for the construction of a three storey Long Term Care Facility, approximately 11, 192 sq.m.
Date of Certification:
Septemer 11, 2002
Name of Owner:
1367178 Ontario Inc.
Address for Service:
2065 leanne Blvd., Mississauga, ON L5K 2L6
Name of Contractor: Maystar eneral Contractors Inc.
Address for Service: 71 Buttermill Ave., Concord, ON L4K 3X2
Name of Payment Certifier:
V. Samuel Iser Architect Inc.
Address:
62 Spanhouse Crescent, Unionville, ON L3R 4E3
Identification of Premises for preservation of Liens:
Plan of survey of part of Lot 8 Concession 4 City of Oshawa, Regional Municipality of Durham




Participants

Name of Certifier
V. Samuel Iser Architect Inc.
Address of Certifier
62 Spanhouse Crescent, Unionville, ON L3R 4E3
Name of Owner
1367178 Ontario Inc.
Address of Owner
2065 leanne Blvd., Mississauga, ON L5K 2L6
Name of Contractor
Maystar eneral Contractors Inc.
Address of Contractor
71 Buttermill Ave., Concord, ON L4K 3X2

Identification of Premises

Plan of survey of part of Lot 8 Concession 4 City of Oshawa, Regional Municipality of Durham