Form ID

Publication date

Location of premises

Certificate

Asphalt Tender RD#04-2018

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of North Middlesex
Address of Owner
229 Parkhill Main Street, Parkhill, ON N0M 2K0
Name of Contractor
Coco Paving Inc.
Address of Contractor
1865 Clark Road, London, ON N5X 3Z6
Name of Certifier
Brad Davies, Public Works Manager
Address of Certifier
229 Parkhill Main Street, Parkhill, ON N0M 2K0

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

Municipality of North Middlesex, 229 Parkhill Main Street, Parkhill, ON N0M 2K0