Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of York
Address of Owner
Clerks Branch, 17250 Yonge Street, P.O. Box 147, Newmarket, ON L3Y 6Z1
Name of Contractor
Vaughan Paving Ltd.
Address of Contractor
220 Basaltic Road, Concord, ON L4K 1G6
Name of Certifier
Peter Pilateris, P.Eng., Manager, Road Operations
Address of Certifier
Same as Owner

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

The Regional Municipality of York, Clerks Branch, 17250 Yonge Street, 4th Floor, P.O. Box 147, Newmarket, ON L3Y 6Z1