Declaration of Last Supply

Form ID

F7-72357

Publication date

2023-10-02

Certificate

Summit Forming Ltd.

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

Westport Condominiums - 28 Ann Street, Port Perry, ON

declares that:

1. The following services or materials were supplied:

Concrete Formwork

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

Edenshaw Ann Developments Limited

dated the

November 18, 2020

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

September 27, 2023

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

Declared before me at the:

City of

Toronto

on the

27th day of September, 2023

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