Form ID

Publication date

Location of premises

Certificate

Concrete Walkway & Grading Q01-91

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Vaughan
Address of Owner
2141 Major Mackenzie Dr., Vaughan, ON
Name of Contractor
Goldmar Construction Inc.
Address of Contractor
1116 Midway Blvd, Unit 9, Mississauga, ON L5T 2H2
Name of Certifier
Linda LaFlamme
Address of Certifier
As owner

Identification of Premises

1441 Clark Ave., Vaughan ON

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

City of Vaughan, 2141 Major Mackenzie Drive Vaughan ON L6A 1T1