Form ID

Publication date

Location of premises

Certificate

Tender T06003 under Contract A2006-002 for Concrete Sidewalk and Curb Repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ajax
Address of Owner
65 Harwood Avenue South, Ajax, ON L1S 2H9
Name of Contractor
Maple-Crete Inc.
Address of Contractor
220 Basaltic Road, Concord, ON L4K 1G6
Name of Certifier
Stephen Brake, Manager of Operations
Address of Certifier
491 Mackenzie Avenue, Ajax, ON L1S 2G2

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

Town Clerk, 65 Harwood Avenue South, Ajax, ON L1S 2H9