Form ID

Publication date

Location of premises

Certificate

Underground Services and Roads to Surface Asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1285613 Ontario Inc.
Address of Owner
135 Queens Plate Drive, 4th Floor, Toronto, ON M9W 6V1
Name of Contractor
Dom-Meridian Construction Limited
Address of Contractor
1021 Meyerside Drive, Unit 10, Mississauga, ON L5T 1J6
Name of Certifier
URS Cole Sherman
Address of Certifier
75 Commerce Valley Drive East, Thornhill, ON L3T 7N9

Identification of Premises

Registered Plan 66M-2348

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

1285613 Ontario Inc., 135 Queens Plate Drive, 4th Floor, Toronto, ON M9W 6V1