Form ID

Publication date

Location of premises

Certificate

Watermain Modifications.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto.
Address of Owner
100 Queen St. W.
Name of Contractor
961488 Ontario Ltd. c/o Sanan Construction.
Address of Contractor
241 Applewood Cres., Unit #10, Concord, Ont. L4K 4E6.
Name of Certifier
T. Dodds, P.Eng.
Address of Certifier
As owner.

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

City Clerk, City of Toronto, 100 Queen St. W., Toronto, ON M5H 2N2.