Certificate of Completion

Oxford County

63 Jacob Street West, Tavistock, ON

63 Jacob Street West, Tavistock, ON

Single Family Dwelling

Date substantially performed:

2004-04-15

Date certificate signed:

2004-04-15

Name of Owner

Doug McKay

Address of Owner

63 Jacob Street West, Tavistock, ON

Name of Contractor

Grassmere Construction Ltd.

Address of Contractor

49 North Street East, Tillsonburg, ON N4G 1B4

63 Jacob St. West Tavistock, ON