Form ID

Publication date

Location of premises

Certificate

Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
City Clerk's Office, 100 Queen Street West, 13th Floor, Toro
Name of Contractor
614128 Ontario Ltd. o/a Trisan Construction
Address of Contractor
17250 Highway No. 27, Schomberg, ON L0T 1T0
Name of Certifier
Manveer Ramburrun, P. Eng., Project Engineer
Address of Certifier
City of Toronto, Technical Services, North York District, 51

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

City of Toronto, City Clerk's Office, 13th Floor, West Tower, City Hall, 100 Queen Street West, Toronto, Ontario M5H 2N2, Copy to the attention of