Form ID

Publication date

Location of premises

Certificate

99-T42, City of Cornwall, Asphalt Planing and Resurfacing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall.
Address of Owner
PO Box 877, Cornwall, ON K6H 5T9
Name of Contractor
Dibblee Construction Limited.
Address of Contractor
PO Box 248, Cornwall, ON K6H 5K8.
Name of Certifier
City of Cornwall.
Address of Certifier
PO Box 877, Cornwall, ON K6H 5T9.

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

City of Cornwall.