Form ID

Publication date

Location of premises

Certificate

Curb repairs and paving surface course asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1579669 Ontario Inc.
Address of Owner
1 Steelcase Road West, Unit 8, Markham, ON L3R 0T3
Name of Contractor
Coco Paving Inc.
Address of Contractor
701 Dunlop Street West, Barrie, ON L4N 9W9
Name of Certifier
EXP. Services Inc.
Address of Certifier
4 Cedar Pointe Drive, Unit L, Barrie, ON L4N 5R7

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

1 Steelcase Road West, Unit 8, Markham, ON L3R 0T3