Form ID

Publication date

Location of premises

Certificate

Salem Road Widening, Contract No. 05E-005

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ajax
Address of Owner
65 Harwood Avenue South, Ajax, ON L1S 2H9
Name of Contractor
Elirpa Â鶹´«Ã½¸ßÇåion and Materials Limited
Address of Contractor
P.O. Box 187, 2890 Brock Road, Pickering, ON L1V 2R4
Name of Certifier
Totten Sims Hubicki Associates Limited
Address of Certifier
300 Water Street, Whitby, ON L1N 9J2

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

Mr. M. Derond, Clerk, Town of Ajax, 65 Harwood Avenue South, Ajax, Ontario L1S 2H9
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