Form ID

Publication date

Location of premises

Certificate

Hot In Place Asphalt Pavement Repairs.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, District 3.
Address of Owner
Works & Emergency Services, Transportation Services, 510
Name of Contractor
J.A. Robbins Const. Ltd.
Address of Contractor
P.O. Box 444, Station B, Etobicoke, Ont. M9W 5L4.
Name of Certifier
Trevor Tenn, Manager, Road Operations, District 3.
Address of Certifier
5100 Yonge Street, North York, ON M2N 5V7.

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

City Clerk, Metro Hall, 55 John St., 7th Floor, Toronto, ON M5V 3C6.