Form ID

Publication date

Location of premises

Certificate

Rosebank Estates Phase I, Contrct IV - Roadworks (Year 2)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Rosebank Estats Inc.
Address of Owner
2104 Highway 7, Unit 28, Concord, ON L4K 2S9
Name of Contractor
Pilen Construction of Canada Limited
Address of Contractor
R.R. #9, 22 Cadetta Road, Brampton, ON L6T 3Z8
Name of Certifier
G.M. Sernas & Associates
Address of Certifier
110 Scotia Court, Unit 41, Whitby, ON L1N 8Y7

Identification of Premises

Registered Plan 40M-1747, Town of Whitby

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

Rosebank Estates Inc.