Form ID

Publication date

Location of premises

Certificate

Contract No. 58565-001A for the installation of watermain service connections at various locations within the City of Toronto.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto.
Address of Owner
City Hall, Toronto, ON.
Name of Contractor
Sam Rabito Construction Ltd.
Address of Contractor
10537 McCowan Road, Markham, Ont. L3P 3J3.
Name of Certifier
City of Toronto.
Address of Certifier
As owner.

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

City of Toronto.