Form ID

Publication date

Location of premises

Certificate

Floor Storage Improvements Highway 7 and Woodbine Avenue

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Markham
Address of Owner
101 Town Centre Boulevard, Markham, ON L3R 9W3
Name of Contractor
Lakeside Contracting Company Limited
Address of Contractor
3513 Mavis Rd., Mississauga, ON L5C 1T7
Name of Certifier
Malcolm Hann
Address of Certifier
Same as owner

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

Office of Owner