Form ID

Publication date

Location of premises

Certificate

Asphalt Replacement and Concrete Repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Governing Council of the Salvation Army
Address of Owner
2 Overlea Boulevard, Toronto, ON M4H 1D4
Name of Contractor
CSBI Group Limited
Address of Contractor
15 Airview Road, Etobicoke, ON M9W 4P1
Name of Certifier
Kleinfeldt Consultants Limited
Address of Certifier
2400 Meadowpine Blvd., Suite 102, Mississauga, ON L5N 6S2

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

The Governing Council of the Salvation Army, 2 Overlea Boulevard, Toronto, ON M4H 1D4