Form ID

Publication date

Location of premises

Certificate

SWMF No. 14 Lands, Topsoil Stripping and Site Pre-Grading

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1127187 Ontario Limited
Address of Owner
8500 Leslie Street, Suite 380, Thornhill, ON L3T 7M8
Name of Contractor
Rom-Neg Construction Ltd.
Address of Contractor
R.R. #4, Tottenham, ON L0G 1W0
Name of Certifier
Candevcon Limited, Diamuid K. Horgan P.Eng.
Address of Certifier
4629 Queen St. E., Brampton, ON L6T 3Y7

Identification of Premises

Lot 5, Concession 10, east side of The Gore Road/South of Ebenezer Road, City of Brampton

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

8500 Leslie Street, Suite 380, Thornhill, ON L3T 7M8