Form ID

Publication date

Location of premises

Certificate

Polybutylene Water Service Replacements on Portland Court in the City of Pickering, Regional Municipality of Durham

Date substantially performed:
Date certificate signed:

Participants

Name of Contractor
Gio Crete Construction Ltd.
Address of Contractor
5291 14th Line, Cookstown, ON L0L 1L0
Name of Certifier
S. Siopis, P.Eng. Director, Transportation and Field Services
Address of Certifier
Regional Municipality of Durham, Box 623, 605 Rossland Road

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

Owner at above address