Form ID

Publication date

Location of premises

Certificate

Contract No. 01D4-002RD.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Scarborough, District.
Address of Owner
1530 Markham Rd., 6th Flr., Scarboorough, Ont. M1B 3G4.
Name of Contractor
Furfari Paving Co. Ltd.
Address of Contractor
1159 Tapscott Rd., Scarborough, ON M1X 1S9
Name of Certifier
S. Mok, P. Eng., City of Toronto.
Address of Certifier
Works & Emergency Services, 1530 Markham Rd., 6th Floor,

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

City Clerk, City of Toronto, City Hall, West Tower, 5th Flr., 100 Queen Street West, Toronto, Ont. M5H 2N2.