Form ID

Publication date

Location of premises

Certificate

Asphalt Repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Whitchurch-Stouffville
Address of Owner
37 Sandiford Dr., 4th Floor, Stouffville, ON
Name of Contractor
C. Valley Paving Limited
Address of Contractor
40 Bradwick Drive, Unit #23, Concord, ON
Name of Certifier
Gord Haggerty
Address of Certifier
37 Sandiford Drive, 4th Floor, Stouffville, ON

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

Town of Whitchurch-Stouffville, 37 Sandiford Dr., 4th Floor, Stouffville, ON L4A 7X5