Form ID

Publication date

Location of premises

Certificate

Contract No. PW-99-002 Supply and Apply Single Surface Treatment on various roads within the Township of Delhi.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Delhi.
Address of Owner
PO Box 182, 183 Main Street, Delhi, ON N4B 2W9.
Name of Contractor
Miller Paving Limited.
Address of Contractor
P.O. Box 4080, Markham, Ont. L3R 9R8.
Name of Certifier
Bill Cridland.
Address of Certifier
As owner.

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

Betteanne M. Cadman, Clerk, Township of Delhi, Box 182, 183 Main Street, Delhi, ON N4B 2W9.