Form ID

Publication date

Location of premises

Certificate

Asphalt Paving and Construction of Concrete Sidewalk, Curb & Gutter & Road Resurfacing.

Date substantially performed:

Participants

Name of Owner
Corporation of the City of Owen Sound, Ont.
Address of Owner
808-2nd Avenue East, Owen Sound, Ont. N4K 2H4.
Name of Contractor
E.C. King Contracting.
Address of Contractor
Box 457, Owen Sound, ON N4K 5P7
Name of Certifier
Corporation of the City of Owen Sound, Ont.
Address of Certifier
808-2nd Avenue East, Owen Sound, Ont. N4K 2H4.

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

Attn