Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Markham
Address of Owner
101 Town Centre Boulevard, Markham, ON L3R 9W3
Name of Contractor
Dundas Power Line Ltd.
Address of Contractor
13564 Hwy 43, Chesterville, ON K0C 1H0
Name of Certifier
The Corporation of the City of Markham
Address of Certifier
101 Town Centre Boulevard, Markham, ON L3R 9W3

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

The Corporation of the City of Markham, Clerks Department (Same Address as Above)