Form ID

Publication date

Location of premises

Certificate

Watermain Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
P.O. Box 5000, Station A, Sudbury, ON P3A 5P3
Name of Contractor
Labelle Brothers Excavating
Address of Contractor
831 Drive-In Road, Cache Bay, ON P0H 1G0
Name of Certifier
Kevin Shaw, P. Eng
Address of Certifier
As Owner

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

The Clerk, The City of Greater Sudbury, P.O. Box 5000, Stn. A, Sudbury, ON P3A 5P3