Form ID

Publication date

Location of premises

Certificate

04WD-117TM Supply, Replacement & Adjustment of Utility Castings at Various Locations - West District

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto - Etobicoke District Two
Address of Owner
399 The West Mall, Etobicoke, ON M9C 2Y2
Name of Contractor
Lakeside Contracting Company Ltd.
Address of Contractor
3513 Mavis Rd. Mississauga ON L5C 1T7
Name of Certifier
John Thomas P.Eng., Director, Transportation Services, West District
Address of Certifier
3rd Floor, South Block 399 The West Mall, Etobicoke, ON M9C

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

J. Thomas Director, Transportation Services, Etobicoke City Hall, 399 The West Mall, Etobicoke, Ontario M9C 2Y2