Form ID

Publication date

Location of premises

Certificate

ACC Rink Slab and Flooring Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Town of Ajax
Address of Owner
65 Harwood Avenue South, Ajax, ON L1S 2H9
Name of Contractor
Schilthuis Construction Inc.
Address of Contractor
23 Industrial Drive, Caledonia, ON N3W 1H8
Name of Certifier
Barry Bryan Associates
Address of Certifier
201-250 Water Street, Whitby, ON L1N 0G5

Identification of Premises

75 Centennial Road, Ajax, ON L1S 4S4

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

Owner - Address Above