Declaration of Last Supply

Form ID

F7-27734

Publication date

2021-10-29

Certificate

Summit Forming Ltd

A supplier of services or materials to an improvement being made to:

Yonge Parc D, 75 Oneida Cr, Richmond Hill, ON

declares that:

1. The following services or materials were supplied:

Concrete Formwork

2. These services or materials were supplied under a contract (or subcontract) with:

The Gates of Bayview Glen Ph XII Corporation

dated the

March 25, 2019

3. The last supply of services or materials made by the supplier to the improvement under contract (or subcontract) was made on:

October 26, 2021

4. No further services or materials will be supplied under the contract (or subcontract).

Declared before me at the:

City of

Toronto

on the

26th day of October, 2021

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