Form ID

Publication date

Location of premises

Certificate

Reconstruction and construction of existing and new asphalt drawings and parking lots including granular base, concrete curbs, concrete sidewalks, base and surface asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Providence Healthcare Centre
Address of Owner
3276 St. Clair Avenue East, Toronto, ON
Name of Contractor
D. Crupi & Sons Limited
Address of Contractor
P.O. Box 272, 85 Passmore Avenue, Agincourt, ON M1S 3B6
Name of Certifier
Glenn Anderson, CET, Gamsby and Mannerow Limited
Address of Certifier
Suite 210, 255 Woodlawn Road West, Guelph, ON N1H 8J1

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

Providence Healthcare Centre, 3276 St. Clair Avenue East, Toronto, ON M1L 1W1, Attention