Declaration of Last Supply

Form ID

F7-37024

Publication date

2022-07-21

Certificate

All Forming High Rise

A supplier of services or materials to an improvement being made to:

51 David Limited Partnership-Otis on the Park King Street E, Kitchener

declares that:

1. The following services or materials were supplied:

Provided forming of walls & floors

2. These services or materials were supplied under a contract (or subcontract) with:

Otis on the Parc - 51 David Limited Partnership

dated the

October 12, 2021

3. The last supply of services or materials made by the supplier to the improvement under contract (or subcontract) was made on:

June 17, 2022

4. No further services or materials will be supplied under the contract (or subcontract).

Declared before me at the:

City of

Waterloo

on the

23rd day of June, 2022

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