Form ID

Publication date

Location of premises

Certificate

3 Storey Hotel Building - New Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lake Ramara Investments Ltd.
Address of Owner
505 Highway #7 East, Unite 232, Thornhill, ON L3T 7S1
Name of Contractor
Signature Carleton Inc.
Address of Contractor
85 Scarsdale Rd., Suite 306, Toronto, ON M3B 2R2
Name of Certifier
Richard Wengle - Richard Wengle Architect Inc.
Address of Certifier
801 Eglington Ave., W., Suite 406, Toronto, ON M5N 1G3

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

Signature Carleton Inc.