Form ID

Publication date

Location of premises

Certificate

Sidewalk Installations and Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Uxbridge
Address of Owner
51 Toronto St. S., Uxbridge, ON L9P 1T1
Name of Contractor
Onsite Contracting Inc.
Address of Contractor
272-B Bradwick Drive, Vaughan, ON L4K 1K8
Name of Certifier
Lukas Gillham
Address of Certifier
51 Toronto St. S., Uxbridge, ON L9P 1T1

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

51 Toronto St. S., Uxbridge, ON L9P 1T1 Attn: Debbie Leroux