Form ID

Publication date

Location of premises

Certificate

Invoice #102898 Dated Oct. 22/99 - Repair of portable classroom #’s 645 & 646.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peel District School Board.
Address of Owner
5650 Hurontario Street, Mississauga, ON L5R 1C6.
Name of Contractor
Envirosafe Inc.
Address of Contractor
80 Nashdene Road, Unit 51, Scarborough, ON M1V 5V4.
Name of Certifier
Bob Bond +/or Craig Ferguson, Peel District School Board.
Address of Certifier
5650 Hurontario Street, Mississauga, ON L5R 1C6.

Identification of Premises

Meadowvale Village P.S., 890 Derry Road West, Mississauga, ON L5W 1A1.

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

City of Mississauga Registry Office.