Form ID

Publication date

Location of premises

Certificate

Construction of Custom Single Family Home

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ms. Shannon Cowan and Mr. Paul Keen
Address of Owner
450 Delaney Drive, Ajax, ON L1T 3Y6
Name of Contractor
Fourteen Estates Limited
Address of Contractor
96 Cawker's Cove Road, Port Perry, ON L9L 1R6

Identification of Premises

Lot 8, Plan # 40M-2302

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

96 Cawker's Cove Road, Port Perry, Ontario L9L 1R6