Form ID

Publication date

Location of premises

Certificate

Supply and Apply Micro Surfacing PW-R-19-48

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Norfolk County
Address of Owner
183 Main Street, Delhi, ON N4B 2M3
Name of Contractor
MSO Construction a Division of Miller Paving Limited
Address of Contractor
175 Bethridge Rd., Etobicoke, ON M9W 1N4
Name of Certifier
Darnell Bernardo
Address of Certifier
183 Main Street, Delhi, ON N4B 2M3

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

Norfolk County, 183 Main Street, Delhi, Ontario, N4B 2M3