Form ID

Publication date

Location of premises

Certificate

Laneway Construction at three locations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Technical Services, Etobicoke York District
Address of Owner
399 The West Mall, North Block, 3rd Floor, Etobicoke ON M9C
Name of Contractor
Patterned Concrete Ontario Inc.
Address of Contractor
249 Supertest Road, Toronto, ON M3J 2M4
Name of Certifier
Hugh Struthers, P. Eng., Senior Project Engineer
Address of Certifier
as owner

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

City of Toronto, Clerk's Office, Toronto City Hall, 10th Floor West Tower, 100 Queen Street West, Toronto, ON M5H 2N2