Form ID

Publication date

Location of premises

Certificate

Carruther’s Creek Village - Phase IIIB, Contract I - Water Distribution System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1097467 Ontario Inc.
Address of Owner
80 Tiverton Court, Suite 300, Markham, ON L3R 0G4
Name of Contractor
1390348 Ontario Ltd.
Address of Contractor
20 Jutland Road, Toronto, ON M8Z 2G9
Name of Certifier
Sernas Associates
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Plan of Subdivision 18T-89104 Part of Lot 6 Range 3 Broken Front Concession (South of Bayly Street, East of Pickering Beach Road West of Carruther’s Creek) Town of Ajax

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

1097467 Ontario Inc.