Form ID

Publication date

Location of premises

Certificate

Water Play Area

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Ajax
Address of Owner
65 Harwood Ave. S., Ajax, ON L1S 2H9
Name of Contractor
Melfer Construction Inc.
Address of Contractor
111 Crockford Blvd., Toronto, ON M1R 3B7.
Name of Certifier
Bruce Johnson O.A.LA. Manager - Design Services
Address of Certifier
65 Harwood Ave. S., Ajax, ON L1S 2H9

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

M. deRond, Clerk, Town of Ajax, 65 Harwood Ave. S., Ajax, ON L1S 2H9