Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Springwater
Address of Owner
2231 Nursery Road, Minesing, ON L0L 1Y2
Name of Contractor
Coco Paving Inc.
Address of Contractor
701 Dunlop Street West, Barrie, ON L4N 9W9
Name of Certifier
Township of Springwater
Address of Certifier
2231 Nursery Road, Minesing, ON L0L 1Y2

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

Township of Springwater, 2231 Nursery Road, Minesing, Ontario L0L 1Y2