Form ID

Publication date

Location of premises

Certificate

Invoice 11266 Dated Aug. 31/99 - Repair of portable classroom #’s 587, 589.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peel District School Board.
Address of Owner
Britannia A.E.C., 100 Elm Drive W., Mississauga, ON L5B 1L9.
Name of Contractor
Inscan Contractors (Ontario ) Inc.
Address of Contractor
212 Wyecroft Rd., Oakville, ON L6K 3T9.
Name of Certifier
Bob Bond +/or Craig Ferguson, Peel District School Board.
Address of Certifier
5650 Hurontario Street, Missisauga, ON L5R 1C6.

Identification of Premises

Britannia A.E.C., 100 Elm Drive W., Mississauga, ON L5B 1L9.

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

City of Mississauga Registry Office.