Form ID

Publication date

Location of premises

Certificate

2010 Asphalt Concrete Pavement Patching Parks & Leisure Services, Kate Pace Way Repairs Known as Capital Project #3038PR

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of North Bay
Address of Owner
P.O. Box 360, North Bay, ON P1B 8H8
Name of Contractor
Miller Paving North Bay, Division of Miller Paving Limited
Address of Contractor
70 Couchie Industrial Road, North Bay, ON P1B 8J5
Name of Certifier
Rheaume Bellehumeur, Capital Project & Facilities Co-ordinator
Address of Certifier
Same as Owner

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

Clerk, City of North Bay, P.O. Box 360, North Bay, ON P1B 8H8