Form ID

Publication date

Location of premises

Certificate

HB 6601 Holdback on contract

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peel District School Board
Address of Owner
933 Central Parkway West, Mississauga, ON L5C 2T9
Name of Contractor
Top Line Roofing & Sheet Metal Inc.
Address of Contractor
1325 Fewster Drive, Mississauga, ON L4W 1A2
Name of Certifier
Thomas Tsung Structural Supervisor
Address of Certifier
933 Central Parkway, Mississauga, ON L5C 2T9

Identification of Premises

James Bolton PS, 225 Kingsview Dr.

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

Town of Caledon