Form ID

Publication date

Location of premises

Certificate

Underground Services and Road to Surface Asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1090011 Ontario Limited
Address of Owner
c/o Lebovic Enterprises, PO Box 1240, Stouffville, ON L4A 8A
Name of Contractor
Dom-Meridian Construction Limited
Address of Contractor
1021 Meyerside Drive, Unit 10, Mississauga, ON L5T 1J6
Name of Certifier
URS Cole Sherman
Address of Certifier
75 Commerce Valley Drive East, Thornhill, ON L3T 7N9

Identification of Premises

Lebovic Avenue

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

1090011 Ontario Limited, c/o Lebovic Enterprises, PO Box 1240, Stouffville, ON L4A 8A2