Form ID

Publication date

Location of premises

Certificate

Jersey Creek Erosion Repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Vaughan
Address of Owner
2141 Major MacKenzie Drive, Vaughan, ON L6A 1T1
Name of Contractor
560789 Ontario Limited
Address of Contractor
262 Main Street, Acton, ON L7J 1W9.
Name of Certifier
Z. Najak
Address of Certifier
As Above.

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

Owner As Above.