Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Whitby
Address of Owner
833 Brock Street South, Whitby, ON L1N 4K4
Name of Contractor
Hawkins Contracting Services Limited
Address of Contractor
833 Brock Street South, Whitby, ON L1N 4K4
Name of Certifier
The Corporation of the Town of Whitby
Address of Certifier
575 Rossland Road East, Whitby, ON L1N 2M8

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

Debbie Wilcox, Clerk, The Corporation of the Town of Whitby, 575 Rossland Road East, Whitby, Ontario L1N 2M8