Form ID

Publication date

Location of premises

Certificate

Road Reconstruction, Sidewalks, Shoulder Treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Works & Emergency Services, Technical Services, District 2
Address of Owner
399 The West Mall, Etobicoke ON M9C 2Y2
Name of Contractor
Pave-Tar Construction Ltd.
Address of Contractor
366 Watline Ave., Mississauga, ON L4Z 1X2
Name of Certifier
Tom Ellerbusch, Manager Technical Services District 2
Address of Certifier
as owner

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

City Clerk, Metro Hall, 55 John Street, Toronto, ON M5V 3C6