Form ID

Publication date

Location of premises

Certificate

Contract 200812-CT

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kawartha Lakes
Address of Owner
26 Francis Street, PO Box 9000, Lindsay, ON K9V 5R8
Name of Contractor
Royel Paving
Address of Contractor
3664 Hwy #35 North, Lindsay, ON K9V 4S3
Name of Certifier
Dan Lynch, Operations Manager
Address of Certifier
Public Works Dept., 12 Peel St., Lindsay, ON K9V 2Y6

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

Public Works Dept., 12 Peel St., Lindsay, Ontario K9V 2Y6