Form ID

Publication date

Location of premises

Certificate

William R. Allen Road Widening Contract Number: 03D3-28RD

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto Works & Emergency Services, Technical Services, North District
Address of Owner
5100 Yonge Street, 4th Floor, Toronto, ON M2N 5V7
Name of Contractor
Pave-Tar Construction Limited
Address of Contractor
366 Watline Ave., Mississauga, ON L4Z 1X2
Name of Certifier
Samuel Jebakumar, P.Eng.
Address of Certifier
as owner

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

City Clerk, Toronto City Hall, 2nd Floor West, 100 Queen Street West, Toronto, ON M5H 2N2