Form ID

Publication date

Location of premises

Certificate

Kelsey’s Restaurant - Clarington Centre, Contract I - Underground/Site Servicing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Halloway Holdings Limited c/o Valiant Property Management.
Address of Owner
177 Nonquon Road, 20th Floor, Oshawa, Ontario L1G 3S2.
Name of Contractor
Ron Robinson Ltd.
Address of Contractor
3075 Maplegrove Road, Bowmanville, Ont. L1C 3K4.
Name of Certifier
G.M. Sernas & Associates Limited.
Address of Certifier
110 Scotia Court, Unit 41, Whitby, Ontario L1N 8Y7.

Identification of Premises

Part 20 of Registered Plan 40R-17063, Part of Lot 16, Concession 1, Municipality of Clarington.

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

Halloway Holdings Limited, c/o Valiant Property Management.