Form ID

Publication date

Location of premises

Certificate

2004 Surface Treatment Program (Portion)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Leamington
Address of Owner
38 Erie St. N., Leamington, ON N8H 2E3
Name of Contractor
Dunn Paving Limited
Address of Contractor
485 Little Baseline Road, Tecumseh, ON N8N 2L9

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

Municipality of Leamington, Director of Corporate Services