Form ID

Publication date

Location of premises

Certificate

Contract No. 2004-3103 Drainage & Hot Mix Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Bancroft
Address of Owner
PO Box 790 24 Flint Street, Bancroft, ON K0L 1C0
Name of Contractor
J & P Leveque Bros. Haulage Ltd.
Address of Contractor
R.R. #5 30876 Hwy 62 N., Bancroft, ON K0L 1C0

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

Town of Bancroft, PO Box 790 24 Flint Street, Bancroft, ON K0L 1C0