Form ID

Publication date

Location of premises

Certificate

Invoice 11288 Dated Aug. 31/99 - Repair of portable classroom #’s 680, 708.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peel District School Board.
Address of Owner
Glenforest S.S., 3575 Fieldgate Drive, Mississauga, ON L4X 2
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

Glenforest S.S., 3575 Fieldgate Drive, Mississauga, ON L4X 2J6

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

City of Mississauga Registry Office.