Form ID

Publication date

Location of premises

Certificate

Spreader Laid Patches

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
P.O. Box 5000, Station "A", Sudbury, ON P3A 5P3
Name of Contractor
Pioneer Construction Inc.
Address of Contractor
1 Ceasar Road, Copper Cliff, ON P0M 1N0
Name of Certifier
L. Laframboise, Manager, Construction Services
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, P.O. Box 5000, Stn "A", Sudbury, ON P3A 5P3