Form ID

Publication date

Location of premises

Certificate

Spot & Utility hot mix paving Contract No: 04-07-1065

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Chatham-Kent
Address of Owner
P.O.Box 640, Chatham, ON N7M 5K8
Name of Contractor
Seal-On Paving Ltd.
Address of Contractor
955 Richmond St., Chatham, ON N7M 5J5

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

Corporation of the Municipality of Chatham-Kent