Form ID

Publication date

Location of premises

Certificate

T01-201 Concord Thornhill Regional Park Screen Fencing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Vaughan
Address of Owner
2141 Major Mackenzie Dr.
Name of Contractor
Roma Fence Limited
Address of Contractor
24 Cadetta Road, Brampton, ON
Name of Certifier
Linda Laflamme
Address of Certifier
Same as owner

Identification of Premises

65R-21129 Parts 31, 35 & 36

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

City of Vaughan Clerks Dept.