Form ID

Publication date

Location of premises

Certificate

Contract No. Q-7-99 Emulsified Asphalt Spray Patching on various roads in the City of Toronto - District 2.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto - Etobicoke District Two.
Address of Owner
399 The West Mall, Etobicoke, ON, M9C 2Y2.
Name of Contractor
Bruell Contracting Ltd.
Address of Contractor
37 Shorncliffe Road, Etobicoke, ON, M8Z 5K2.
Name of Certifier
John Thomas, P.Eng., Director Transportation Services, District 2.
Address of Certifier
3rd Floor, South Block, 399 The West Mall, Etobicoke, ON, M9

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

J. Thomas, Director Transportation Services, Etobicoke City Hall, 399 The West Mall, Etobicoke.