Form ID

Publication date

Location of premises

Certificate

Tender No. 1610; 2010 Paving Tender

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Northumberland
Address of Owner
555 Courthouse Road, Cobourg, ON K9A 5J6
Name of Contractor
Norway Asphalt Ltd.
Address of Contractor
R.R. #2, Lakefield, ON K0L 2H0

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

Same as Owner