Form ID

Publication date

Location of premises

Certificate

Asphalt Resurfacing to Various City of Toronto Local Roads (Wards 4 & 5)

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
D. Crupi & Sons Limited.
Address of Contractor
85 Passmore Ave., Toronto, ON M1S 3B6
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 M9C

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, ON M9C 2Y2