Form ID

Publication date

Location of premises

Certificate

Contract No. TE 02-02 Douglas Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Richmond Hill
Address of Owner
PO Box 300, 225 East Beaver Creek Road, Richmond Hill, ON L4
Name of Contractor
961488 Ontario Limited o/a Sanan Construction
Address of Contractor
94 Newkirk Road, Richmond Hill, Ont. L4C 3G3.
Name of Certifier
Darryl Clark, Manager of Construction
Address of Certifier
PO Box 300, 225 East Beaver Creek Road, Richmond Hill, ON L4

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

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