Form ID

Publication date

Location of premises

Certificate

Contract No. 99S-003 Application of Emulsified Asphalt Slurry Seal Surface at various locations within District 1 in the City of Toronto.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto.
Address of Owner
505 Richmond Street West, Toronto, Ontario M5V 1Y3.
Name of Contractor
J.A. Robbins Construction a Division of Paveseal Limited.
Address of Contractor
P.O. Box 444, Station B, Etobicoke, Ont. M9W 5L4.
Name of Certifier
M.N. Graham, Superintendent, Surface Maintenance District 1.
Address of Certifier
Same as owner.

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

Same as owner.
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