Form ID

Publication date

Location of premises

Certificate

Township of West Lincoln, Hot Mix Spot Repair Tender PW 2017-09

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of West Lincoln
Address of Owner
318 Canborough Road, P.O. Box 400, Smithville, ON L0R 2A0
Name of Contractor
Circle P Paving Inc.
Address of Contractor
1994 Stevensville Rd. P.O. Box 297, Stevensville, ON L0S 1S0
Name of Certifier
Township of West Lincoln
Address of Certifier
318 Canborough Road, P.O. Box 400, Smithville, ON L0R 2A0

Identification of Premises

Hot Mix Spot Repair in various locations throughout Township, Township of West Lincoln, Ontario

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

Owner - Address As Above