Form ID

Publication date

Location of premises

Certificate

Microsurfacing Various Locations Contract # 17-13

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
United Counties of Leeds and Grenville
Address of Owner
25 Central Ave. West, Suite 100 Brockville, ON K6V 4N6
Name of Contractor
Miller Paving Limited
Address of Contractor
287 Ram Forest Road, Stouffville, ON L4A 2G8

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

25 Central Ave. West, Suite 100 Brockville, ON. K6V 4N6