Form ID

Publication date

Location of premises

Certificate

Contract No. PW 06-03 Road reconstruction and Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Quinte West
Address of Owner
P.O. Box 490, Trenton, ON K8V 5R6
Name of Contractor
Lafarge Paving & Construction (Eastern) Limited
Address of Contractor
6520 Hwy. 62, P.O. Box 323, Belleville, ON K8N 5A5
Name of Certifier
Mr. C. Angelo, Director of Public Works Services
Address of Certifier
Same as Owner

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

The Corporation of the City of Quinte West, P.O. Box 490, Trenton, ON K8V 5R6, Attention