Form ID

Publication date

Location of premises

Certificate

Asphalt overlay - Contract #99S-001

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto.
Address of Owner
505 Richmond St. W., 1st Floor, Toronto, ON M5V 1Y3
Name of Contractor
D. Crupi & Sons Limited.
Address of Contractor
PO Box 272, Agincourt, ON M1S 3B6.
Name of Certifier
Marty Graham.
Address of Certifier
Same as owner.

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

Clerks Office.