Form ID

Publication date

Location of premises

Certificate

Contract No. O 05-04 for the supplying and placing of emulsified asphalt and class 2 aggregates and for the supply and application of slurry seal, Given Rd (Ritson Rd N to Winchester Rd E), Grandview St N (Howden Rd E to 1, 265m N/of Howden Rd E), Thornton Rd N (Conlin Rd W to Winchester Rd W), Stevenson Rd N (1,116m S/of Raglan Rd W to Raglan Rd W)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre Street South, Oshawa, ON L1H 3Z7
Name of Contractor
Miller Paving Limited
Address of Contractor
287 Ram Forest Road, Gormley, ON L0H 1G0
Name of Certifier
M.J. Sims, P. Eng.
Address of Certifier
As above.

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

Owner at above address