Form ID

Publication date

Location of premises

Certificate

Contract No. R-04-37 Microsurfacing Phase II Microsurfacing - Front Street, Colborne Street, West Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Orillia
Address of Owner
Orillia City Centre, 50 Andrew Street South, 3rd Floor, Oril
Name of Contractor
Miller Paving Ltd.
Address of Contractor
287 Ram Forest Road, Gormley, ON L0H 1G0
Name of Certifier
Peter Dance, P.Eng.
Address of Certifier
Orillia City Centre, 50 Andrew St. S., 3rd Fl., Orillia, ON

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

City of Orillia c/o Public Works Department - Orillia City Centre, 50 Andrew St. S., 3rd Floor, Orillia, ON L3V 7T5