Form ID

Publication date

Location of premises

Certificate

Construction of road, ditches and appurtenant storm water management works.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1279275 Ontario Limited.
Address of Owner
4164 Vermont Crescent, Burlington, ON L7M 4A9.
Name of Contractor
Graham Bros. Construction Limited.
Address of Contractor
290 Clarence Street, Brampton, Ont. L6W 1T4.
Name of Certifier
Philips Planning and Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2.

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

Owner - Address as above.