Form ID

Publication date

Location of premises

Certificate

Contract No. 17 111 99105 -

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Mississauga.
Address of Owner
3185 Mavis Road, Mississauga, ON L5C 1T7
Name of Contractor
Mardave Construction
Address of Contractor
48 Millwick Dr., Weston, ON M9L 1Y3.
Name of Certifier
Dominic Marchese, P. Eng.
Address of Certifier
3185 Mavis Road, Mississauga, ON L5C 1T7

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

City of Mississauga - Clerks Department, 300 City Centre Drive, Mississauga, Ont. L5B 3C1