Form ID

Publication date

Location of premises

Certificate

Tender T05006 under Contract A2005-001 for Local Road Resurfacing and Concrete Repairs on Clements Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ajax
Address of Owner
65 Harwood Avenue South, Ajax, ON L1S 2H9
Name of Contractor
Furfari Paving Co. Ltd.
Address of Contractor
2751 Markham Road, Scarborough, ON M1X 1M4
Name of Certifier
Stephen Brake, Manager of Operations
Address of Certifier
491 Mackenzie Avenue, Ajax, ON L1S 2G2

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

Town Clerk, 65 Harwood Avenue South, Ajax, Ontario L1S 2H9