Form ID

Publication date

Location of premises

Certificate

Storm Sewer & Box Culvert Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
G Group 5220 Yonge Ltd.
Address of Owner
50 Minthorn Blvd. Thornhill, ON, Unit 201, L3T 7X8
Name of Contractor
Wyndale Paving Co. Ltd.
Address of Contractor
24 Cadetta Rd., Brampton, ON L6P 0X4
Name of Certifier
R.V. Anderson Associates Limited
Address of Certifier
Suite 300 - 2001 Sheppard Avenue E. Toronto, ON M2J 4Z8

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

G Group 5220 Yonge Ltd. - 50 Minthorn Blvd. Thornhill, ON, Unit 201, L3T 7X8