Form ID

Publication date

Location of premises

Certificate

Contract 1 - Rough Grading, Contract II - Undergroumd Servicing and Contract III - Roadworks (Year 1).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
963639 Ontario Limited.
Address of Owner
390 Bay Street, Suite 1710, Toronto, Ont. M5H 2Y2.
Name of Contractor
Pentad Construction Limited.
Address of Contractor
80 Roysun Road, Unit 10, Woodbridge, ON L4L 8L8.
Name of Certifier
G.M. Sernas & Associates Limited.
Address of Certifier
110 Scotia Court, Unit 41, Whitby, Ont. L1N 8Y7.

Identification of Premises

Plan of Subdivision 18T-89118, Part of Lot 31, Conc. 3, Municipality of Clarington, Registered Plan 40M-1954.

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

963639 Ontario Limited.