Form ID

Publication date

Location of premises

Certificate

Service Club Signs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Ajax
Address of Owner
65 Harwood Ave. S., Ajax, ON L1S 2H9
Name of Contractor
Lakeridge Contracting Ltd.
Address of Contractor
785 Westney Road South, Unit #19, Ajax, ON L1S 7G1
Name of Certifier
Andrew Jackson O.A.L.A. Project Landscape Architect
Address of Certifier
65 Harwood Ave. S., Ajax, ON L1S 2H9

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

M. deRond Clerk, Town of Ajax, 65 Harwood Ave. S., Ajax, ON L1S 2H9