Form ID

Publication date

Location of premises

Certificate

Maryvale Subdivision, Contract IV-Internal Roadworks (Year 2)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
915343 Ontario Inc.
Address of Owner
2180 Steeles Avenue West, Suite 305, Toronto, Ontario L4K 2Z
Name of Contractor
Goldmar Contracting Ltd.
Address of Contractor
1116 Midway Blvd, Unit 9, Mississauga, Ont. L5T 2H2
Name of Certifier
G.M. Sernas & Associates
Address of Certifier
141 Brunel Road, Mississauga, ON L4Z 1X3

Identification of Premises

Plan of Subdivision 55T-98601, Part of Lot 33, Concession 2, City of Toronto

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

915343 Ontario Inc.