Form ID

Publication date

Location of premises

Certificate

Underground Services and Road Works to base asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mariposa (Ajax) Inc.
Address of Owner
170 The Donway West, Suite 307, Toronto, ON M3C 2G3
Name of Contractor
Ron Robinson Limited
Address of Contractor
3075 Maplegrove Road, Bowmanville, ON L1C 3K4
Name of Certifier
R.G. Robinson and Associates (Barrie) Ltd.
Address of Certifier
10 High Street, Barrie, ON L4N 1W1

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

Mariposa (Ajax) Inc., 170 The Donway West, Suite 307, Toronto, ON M3C 2G3