Form ID

Publication date

Location of premises

Certificate

Catch Basin, Sidewalk, Curb and Gutter Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Cochrane
Address of Owner
171 Fourth Avenue, Box 490, Cochrane, ON P0L 1C0
Name of Contractor
Interpaving Ltd.
Address of Contractor
2385 Riverside Drive, Timmins, ON P4R 1M9
Name of Certifier
Dan Maltais, Director of Operations
Address of Certifier
171 Fourth Avenue, Box 490, Cochrane, ON P0L 1C0

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

Cochrane District Courthouse and Municipality