Form ID

Publication date

Location of premises

Certificate

Contract No. 17 111 02100 -

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Mississauga.
Address of Owner
3185 Mavis Road, Mississauga, Ont. L5C 1T7.
Name of Contractor
Pave-Al Limited
Address of Contractor
6205 Airport Road, Mississauga, ON L4V 1E3
Name of Certifier
D. Breuer, P. Eng.
Address of Certifier
3185 Mavis Road, Mississauga, Ont. L5C 1T7.

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

City of Mississauga - Clerks Department, 300 City Centre Drive, Mississauga, Ont. L5B 3C1.