Form ID

Publication date

Location of premises

Certificate

Contract 3-1999 Miscellaneous Repairs to Concrete Curbs, Gutters and Sidewalks.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Sarnia.
Address of Owner
PO Box 3018, 255 N. Christina St. N., Sarnia, ON N7T 7N2
Name of Contractor
Sarnia Paving Stone
Address of Contractor
764 Campbell Street, Sarnia, ON N7T 2J6
Name of Certifier
City Engineer.
Address of Certifier
PO Box 3018, 255 N. Christina St. N., Sarnia, ON N7T 7N2

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

City Clerk, Administrative Services, City of Sarnia, PO Box 3018, 255 N. Christina St. , Sarnia, ON N7T 7N2