Form ID

Publication date

Location of premises

Certificate

Design Fee (Purchase Order #NAFAC 0000071049) / Body Paint Conveyor) Purchase Order #NAFAC - 0000071694) / Sealer Pre-Heat Converyors (Purchase Order #NAFAC 0000074554) / Floor Conveyor Partial Installation (Purchase Order #NAFAC - 0000073023) / Installation Fee 2 (Purchase Order #NAFAC - 0000076496) / Field Work #2 (Purchase Order #NAFAC - 0000078322) / Converyor Shims (Purchase Order #NAFAC - 0000072873)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Toyota Motor Manufacturing Canada II
Address of Owner
1717 Dundas St., Woodstock, ON N4S 7V9
Name of Contractor
U.S. Tsubaki, Inc.
Address of Contractor
138 Davis Street, Portland, TN 37148 USA
Name of Certifier
Toyota Motor Eng. & Mfg. North America, Inc.
Address of Certifier
25 Atlantic Avenue, Erlanger, KY 41018 USA

Identification of Premises

"Pt Lts 9, 10, 11 & 12 Con 1 Blandford, Pt Lts 9, 10, 11 & 12 Con 2 Blandford; Woodstock