Form ID

Publication date

Location of premises

Certificate

Site Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sandycove Acres
Address of Owner
908 Lockhart Road, Innisfil, ON L9S 3G7
Name of Contractor
G. Priest Construction Limited
Address of Contractor
4430 Horseshoe Valley Road W. Minesing ON L0L 1Y0
Name of Certifier
Richardson Foster
Address of Certifier
4 Cedar Pointe Drive, Barrie, ON L4N 5R7

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

908 Lockhart Road, Innisfil ON L9S 3G7