Form ID

Publication date

Location of premises

Certificate

01D2-104TM General Maintenance Repairs on Various City of Toronto Local and Arterial Roads District Two

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
Ant-Span Investments Inc.
Address of Contractor
220 Basaltic Rd., Concord ON L4K 1G6
Name of Certifier
John Thomas, P.Eng., Director, Transportation Services, District 2
Address of Certifier
3rd Floor, South Block, 399 The West Mall, Etobicoke, Ont. M

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, ON M9C 2Y2