Form ID

Publication date

Location of premises

Certificate

Surface course asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1082414 Ontario Limited
Address of Owner
26 Lesmill Rd., Unit 3, Toronto, ON M3B 2T5
Name of Contractor
Lafarge Construction
Address of Contractor
701 Dunlop St. West, Barrie, ON L4M 4S4
Name of Certifier
Richardson Engineering Ltd.
Address of Certifier
4 Cedar Pointe Drive, Unit L Barrie, ON L4N 5R7

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

26 Lesmill Rd., Unit 3, Toronto, ON M3B 2T5