Form ID

Publication date

Location of premises

Certificate

Contract #1999-4, Asphalt Resurfacing of Various Streets.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Peterborough.
Address of Owner
City Hall, 500 George St. N., Peterborough.
Name of Contractor
Northland Bitulithic Limited.
Address of Contractor
72 Ashwarren Rd., Downsview, ON M3J 1Z6.
Name of Certifier
B.J. Poulton, P.Eng., Director, Utility Services Department.
Address of Certifier
City Hall, 500 George Street North, Peterborough, Ontario K9

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

City Clerk c/o City Hall, 500 George Street North, Peterborough, ON K9H 3R9.