Form ID

Publication date

Location of premises

Certificate

Park Blocks 818 - Site Development

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fanshore Investments Inc.
Address of Owner
55 Stilton Road Unit 2, Woodbridge, ON L4L 7Z8
Name of Contractor
Hermanns Contracting Ltd.
Address of Contractor
PO Box 369, 1510 Hwy #27, RR #1, Schomberg, ON L0G 1T0
Name of Certifier
NAK Design Group
Address of Certifier
355 Adelaide Street West, Toronto, ON M5V 1S2

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

Fanshore Investments Inc., 55 Stilton Road Unit 2, Woodbridge, ON L4L 7Z8