Form ID

Publication date

Location of premises

Certificate

Subdivision Services - Foxhill Heights (to base asphalt)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lea Silvestri Investments Inc.
Address of Owner
21 King St. W., Suite 809, Hamilton, ON L8P 4W7
Name of Contractor
Brantford Engineering and Construction Limited
Address of Contractor
54 Ewart Ave., R.R. #8, Brantford, ON N3T 5M1
Name of Certifier
Gary McFarlane, P. Eng., Project Manager
Address of Certifier
P.O. Box 154, Katrine, ON P0A 1L0

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

Lea Silvestri Investments Inc. (as above)