Form ID

Publication date

Location of premises

Certificate

Road Repairs, Parking Lot and Play Area Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
PCC No. 174 c/o More Management Services
Address of Owner
370 Main St. N., Box 44044, Brampton, ON L6V 4H5
Name of Contractor
Pacific Paving Limited
Address of Contractor
5845 Luke Road, Mississauga, ON L4W 2K5.
Name of Certifier
M.L. Stairs, P.Eng.
Address of Certifier
MGM Consulting Inc., 2000 Argentia Road, Plaza 1, Suite 430,

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

PCC No. 174 c/o More Management Services, 370 Main St. N., Box 44044, Brampton, ON L6V 4H5