Form ID

Publication date

Location of premises

Certificate

Contract No. 12 241 98028 Patchmaster Type-Asphalt Pavement Repairs.

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
Road Savers Central Ltd.
Address of Contractor
43 Racine Rd., Rexdale, ON M9W 2Z4.
Name of Certifier
Elia Iacobucci.
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 - Clerk's Department, 300 City Centre Drive, Mississauga, ON L5B 3C1.