Form ID

Publication date

Location of premises

Certificate

Asphalt Pavement Overlay

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
York Condominium Corporation No. 498
Address of Owner
c/o Larlyn Property Management Ltd., 315 Renfrew Drive, Suit
Name of Contractor
Melrose Paving Co. Ltd.
Address of Contractor
10 Audley Street, Etobicoke, ON M8Y 2X2
Name of Certifier
Brown & Beattie Ltd.
Address of Certifier
15-6400 Millcreek Drive, Suite 418, Mississauga, ON L5N 3E7

Identification of Premises

25, 41 Collinsgrove Road, Scarborough

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

Owner's Address for Service