Form ID

Publication date

Location of premises

Certificate

Asphaltic Resurfacing on Various Urban & Rural Road Allowances.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cumberland.
Address of Owner
255 Centrum Blvd., Orleans, ON K1E 3V8
Name of Contractor
Cornwall Gravel Company Ltd.
Address of Contractor
390 Eleventh Street West, PO Box 67, Cornwall, ON K6H 5R9.
Name of Certifier
Wayne Freitag - Project Manager.
Address of Certifier
255 Centrum Blvd., Orleans, ON K1E 3V8.

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

City of Cumberland, 255 Centrum Blvd., Orleans, ON K1E 3V8