Form ID

Publication date

Location of premises

Certificate

Asphalt/Concrete Reinstatement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury.
Address of Owner
P.O. Box 5000, Station A, Sudbury, Ont. P3A 5P3.
Name of Contractor
Pioneer Construction Inc.
Address of Contractor
3319 Kingsway, Box 2370, Stn A, Sudbury, ON P3A 4S8
Name of Certifier
Kevin Shaw, P. Eng.
Address of Certifier
As Owner.

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

The Clerk, The City of Greater Sudbury, P.O. Box 5000, Stn. A, Sudbury, Ont. P3A 5P3.