Form ID

Publication date

Location of premises

Certificate

Contract: TE 04-00 Reconstruction of Stockdale/Wenlock

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Richmond Hill
Address of Owner
P.O. Box 300, 225 East Beaver Creek Road, Richmond Hill, Ont
Name of Contractor
616183 Ontario Inc., o/a Hollingworth Construction Co.
Address of Contractor
41 Cardico Drive, Box 424, Gormley, ON L0H 1G0
Name of Certifier
Darryl Clark, Manager of Construction
Address of Certifier
P.O. Box 300, 225 East Beaver Creek Road, Richmond Hill, ON

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

Box 300, 225 East Beaver Creek Road, Richmond Hill, ON L4C 4Y5