Form ID

Publication date

Location of premises

Certificate

Construction of sidewalk

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
5100 Yonge St., North York, ON M2N 5V7
Name of Contractor
Maple Crete Inc.
Address of Contractor
220 Basaltic Road, Concord, ON L4K 1G6
Name of Certifier
Ammanuel L. Eyasu, P.Eng.
Address of Certifier
5100 Yonge Street, North York, ON M2N 5V7

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

City Clerk, City of Toronto, City Hall, 2nd Floor West Tower, 100 Queen St. W., Toronto, ON M5H 2N2