Form ID

Publication date

Location of premises

Certificate

Road Reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Dundas.
Address of Owner
60 Main Street, Dundas, ON L9H 2P8.
Name of Contractor
King Paving and Materials.
Address of Contractor
3385 Harvester Road, P.O. Box 699, Burlington, ON L7R 3Y5.
Name of Certifier
Philips Planning and Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2.

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

Owner - Address as above.