Form ID

Publication date

Location of premises

Certificate

Installation of Municipal Services in Meadowlands (Phase 4B).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
752401 Ontario Inc.
Address of Owner
c/o A.J. Clarke and Associates Ltd., 25 Main Street West, Su
Name of Contractor
Dufferin Construction Company.
Address of Contractor
690 Dorval Drive, Suite 200, Oakville, ON L6K 3W7.
Name of Certifier
A.J. Irani, P.Eng.
Address of Certifier
25 Main St. West, Suite 300, Hamilton, ON L8P 1H1

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

752401 Ontario Inc. Attn