Form ID

Publication date

Location of premises

Certificate

Contract No. 99-123-T Road Improvement - Reshaping Knoll to Improved Profile.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Milton.
Address of Owner
43 Brown St., Milton, ON L9T 2H2.
Name of Contractor
King Paving & Materials Company.
Address of Contractor
3385 Harvester Road, Box 699, Burlington, Ont. L7R 3Y5.

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

Corporation of the Town of Milton, 43 Brown St., Milton, ON.