Form ID

Publication date

Location of premises

Certificate

Site works to Base Asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Daniels Northtowne Corporation
Address of Owner
20 Queen Street W., Unit #3400, Toronto ON M5H 3R3
Name of Contractor
Dom-Meridian Construction Limited
Address of Contractor
1021 Meyerside Drive, Unit 10, Mississauga, ON L5T 1J6
Name of Certifier
Trafalgar EngineeringLimited
Address of Certifier
481 Morden Road, Suite #1, Oakville ON L6K 3W6

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

Owner