Form ID

Publication date

Location of premises

Certificate

Contract No. T02-A501, Church Street North at Remner Bridge

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ajax
Address of Owner
65 Harwood Ave., South, Ajax ON L1S 2H9
Name of Contractor
Harnden & King Construction Inc.
Address of Contractor
83 Orchard Rd., Ajax, ON L1S 6K9
Name of Certifier
Town of Ajax
Address of Certifier
65 Harwood Ave., South, Ajax ON L1S 2H9

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

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