Form ID

Publication date

Location of premises

Certificate

Patchmaster Type - Asphalt Repairs (Procurement FA.49.049-05)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Mississauga
Address of Owner
3185 Mavis Road, Mississauga, ON L5C 1T7
Name of Contractor
Paveseal Limited
Address of Contractor
175 Bethridge Road, Etobicoke, ON M9W 1N4
Name of Certifier
Bob Faseruk
Address of Certifier
3185 Mavis Road, Mississauga, ON L5C 1T7

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

City of Mississauga - Clerks Department, 300 City Centre Drive, Mississauga, ON L5B 3C1
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