Form ID

Publication date

Location of premises

Certificate

Innes Road Rehabilitation, Phase 2 (from Orient Park Drive Easterly) Blackburn Hamlet, Tender No. P1988-00)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Gloucester
Address of Owner
2nd Floor, 1595 Telesat Court, PO Box 8333, Gloucester, ON K
Name of Contractor
Dibblee Paving & Materials Ltd.
Address of Contractor
P.O. Box 11068, 994 Moodie Drive, Nepean, ON K2H 7T5
Name of Certifier
Jamie MacDonald, Co-ordinator Projects
Address of Certifier
The Corporation of the City of Gloucester, 2nd Floor, 1595 T

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

The Corporation of the City of Gloucester, 2nd Floor, 1595 Telesat Court, PO Box 8333, Gloucester, ON K1G 3V5