Form ID

Publication date

Location of premises

Certificate

Underground site servicing and roads works to base asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Nugget Construction Co. Limited
Address of Owner
PO Box 1240, 12045 McCowan Road, Stouffville, ON L4A 8A2
Name of Contractor
Dom-Meridian Construction Ltd.
Address of Contractor
1021 Meyerside Drive, Unit 10, Mississauga, ON L5T 1J6
Name of Certifier
Cole Sherman & Associates Limited
Address of Certifier
75 Commerce Valley Drive East, Thornhill, ON L3T 7N9

Identification of Premises

Part of Lot 5, Range 3, Broken Front Concession, Town of Ajax, Regional Municipality of Durham

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

Nugget Construction Co. Limited, PO Box 1240, 12045 McCowan Road, Stouffville, ON L4A 8A2