Form ID

Publication date

Location of premises

Certificate

Block 178, Contract I - Rough Grading, Contract II - Underground Servicing and Contract III - Internal Roadworks (Year I)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Great Gulf (Whitby) Ltd.
Address of Owner
250 Lesmill Road, Don Mills, ON M3B 2T5
Name of Contractor
Pilen Construction of Canada Limited.
Address of Contractor
R.R. #9, 22 Cadetta Road, Brampton, Ont. L6T 3Z8.
Name of Certifier
G.M. Sernas & Associates Limited.
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Registered Plan 40M-1817, Town of Whitby

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

Great Gulf (Whitby) Ltd.