Form ID

Publication date

Location of premises

Certificate

Crackfilling of asphalt pavement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto - District 3.
Address of Owner
Work & Emergency Services Transportaton Services, 5100 Y
Name of Contractor
Vaughan Paving Ltd.
Address of Contractor
220 Basaltic Rd., Concord, ON L4K 1G6.
Name of Certifier
Trevor Tenn, Manager, Road Operations, District 3.
Address of Certifier
5100 Yonge Street, North York, ON M2N 5V7.

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

City Clerk, Metro Hall, 55 John St., 7th Floor, Toronto, ON M5V 3C6.