Form ID

Publication date

Location of premises

Certificate

Contract No. 03D1-119TR Hot Poured Rubberized Asphalt Joints on Asphaltic Concrete Pavements - District 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
140 Merton St., Toronto, ON M4S 1A1
Name of Contractor
Road Savers 2000 Ltd.
Address of Contractor
43 Racine Rd., Rexdale, ON M9W 2Z4
Name of Certifier
M. Graham
Address of Certifier
as owner

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

City of Toronto