Form ID

Publication date

Location of premises

Certificate

Underground Site Servicing and Roadwork

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1133373 Ontario Inc.
Address of Owner
PO Box 1240, 12045 McCowan Road, Stouffville, ON
Name of Contractor
Niran Construction Ltd.
Address of Contractor
333 Humberline Drive, Rexdale, ON M9W 5X3
Name of Certifier
Cole, Sherman & Associates Limited
Address of Certifier
75 Commerce Valley Dr. E. Thornhill, ON L3T 7N9

Identification of Premises

Part of Lots 64 and Lot 65, Concession 1, Town of Richmond Hill, Regional Municipality of York

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

1133373 Ontario Inc., PO Box 1240, 12045 McCowan Rd. Stouffville, ON