Form ID

Publication date

Location of premises

Certificate

City of Vaughan Resurfacing T01-129 Various Locations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Vaughan
Address of Owner
2141 Major Mackenzie Drive, Vaughan, Ont. L6A 1T1
Name of Contractor
Fermar Paving Limited
Address of Contractor
1921 Albion Road, Rexdale, ON M9W 5S8
Name of Certifier
Robb Brown
Address of Certifier
Same as Owner

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

City of Vaughan, Clerks Department (Same address as above)