Form ID

Publication date

Location of premises

Certificate

The Replacement of the Creek Bridge

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional of Peel
Address of Owner
10 Peel Centre Drive, 4th Floor, Brampton ON L6T 4B9
Name of Contractor
G.C. Romano (Toronto) and Sons Limited.
Address of Contractor
8760 Jane Street, Concord, ON L4K 2M9
Name of Certifier
McCormick Rankin Corporation
Address of Certifier
2655 North Sheridan Way, Mississauga, ON L5K 2P8

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

as above