Form ID

Publication date

Location of premises

Certificate

Contract No. T-656-2004, New Truss Roof

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Durham
Address of Owner
Box 623, 605 Rossland Road East, Whitby, ON L1N 6A3
Name of Contractor
Triumph Aluminum & Sheet Metal Inc.
Address of Contractor
25 Ritchie Ave., Unit C, Toronto, ON M6R 2J6
Name of Certifier
Tabcon Engineering
Address of Certifier
494 McNicoll Ave, Suite #201, Toronto, ON M2H 2E1

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

Owner at above address