Form ID

Publication date

Location of premises

Certificate

Surface Treatment of 7th Concession Short Snake Lane and Old Front Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of LaSalle
Address of Owner
Environmental Services Department, 1900 Normandy Rd., LaSall
Name of Contractor
Shepley Excavating and Road Maintence Ltd.
Address of Contractor
2964 County Rd. 12, Essex, ON N8M 2X6
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Dr., Suite 608, Windsor, ON N8W 5K8

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

Town of LaSalle, 1900 Normandy Rd., LaSalle, ON N9H 1P8, Attn