Form ID

Publication date

Location of premises

Certificate

Sanitary Sewer Relining

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
PO Box 5000, Station A, Sudbury, ON P3A 5P3
Name of Contractor
Sewer-Matic Drain Services Ltd.
Address of Contractor
4140 Belgreen Drive, Ottawa, ON K1G 3N2
Name of Certifier
Kevin Shaw, P.Eng.
Address of Certifier
Same as owner

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

The Clerk, The City of Greater Sudbury, PO Box 5000, Stn A, Sudbury, ON P3A 5P3