Form ID

Publication date

Location of premises

Certificate

Site Servicing Top Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Matam Holdings Inc.
Address of Owner
2360 Bristol Circle, Oakville, ON L6H 6M5
Name of Contractor
TACC Construction Ltd.
Address of Contractor
270 Chrislea Road, Woodbridge, ON L4L 2L7.
Name of Certifier
Cosburn Patterson Mather Limited
Address of Certifier
7270 Woodbine Avenue, Suite 300, Markham, ON L3R 4B9

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

Matam Holdings Inc., 2360 Bristol Circle, Oakville, ON L6H 6M5