Form ID

Publication date

Location of premises

Certificate

2010 Asphalt Program

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Municipality of Leamington
Address of Owner
38 Erie St. N., Leamington, ON N8H 2Z3
Name of Contractor
Coco Paving
Address of Contractor
6725 South Service Road, Windsor, ON N8N 2M1
Name of Certifier
Municipality of Leamington
Address of Certifier
38 Erie St. N., Leamington, ON Canada

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

Municipality of Leamington, Director of Corporate Services, 38 Erie St. N., Leamington, ON N8H 2Z3