Form ID

Publication date

Location of premises

Certificate

Intersection Signalization Various Locations Contract #T06-031

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
Stacey Electric Co. Ltd.
Address of Contractor
179 Bartley Dr., Unit # B, Toronto, ON M4A 1E8
Name of Certifier
Mr. Rob Brown
Address of Certifier
Same as Owner

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

City of Vaughan, Clerks Department (Same address as above)