Form ID

Publication date

Location of premises

Certificate

Contract No. 17 111 04110A 2004 Sidewalk Program - Phase II

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Mississauga
Address of Owner
3185 Mavis Road Mississauga ON L5C 1T7
Name of Contractor
410754 Ontario Limited o/a Sousa Concrete
Address of Contractor
1430 Branchton Road, Branchton, ON N0B 1L0
Name of Certifier
K. Dedman, P.Eng.
Address of Certifier
3185 Mavis Road, Mississauga, ON L5C 1T7

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

City of Mississauga - Clerks Department, 300 City Centre Drive, Mississauga, ON L5B 3C1