Form ID

Publication date

Location of premises

Certificate

Contract 2006-37

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kawartha Lakes
Address of Owner
26 Francis Street, PO Box 9000, Lindsay, ON K9V 5R8
Name of Contractor
Norway Asphalt Limited
Address of Contractor
R.R. 2, Lakefield, ON K0L 2H0
Name of Certifier
Darrell Darling, CET
Address of Certifier
Engineering Dept., 50 Wolfe St., Lindsay, ON K9V 2J2

Identification of Premises

Road 10 Hayes Line to 2.2 km. north

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

As above