Form ID

Publication date

Location of premises

Certificate

Bathurst Street Sidewalk Q03-207

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Vaughan
Address of Owner
2141 Major Mackenzie Dr., Vaughan, ON L6A 1T1
Name of Contractor
Maple-Crete Inc.
Address of Contractor
220 Basaltic Road, Concord, ON L4K 1G6
Name of Certifier
Rob 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)