Form ID

Publication date

Location of premises

Certificate

Contract No. T 04-003 Resurfacing work on McGill, Main & John Streets in the Town of Hawkesbury

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Hawkesbury
Address of Owner
600 Higginson Street, Hawkesbury, ON K6A 1H1
Name of Contractor
Dibblee Paving & Material Limited
Address of Contractor
P.O. Box 11068, Nepean, ON K2H 7T5
Name of Certifier
Andre D. Desjardins Engineering (1992) Limited
Address of Certifier
102 Main Street East, Suite 5, Hawkesbury, ON K6A 1A3

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

Andre D. Desjardins Engineering (1992) Limited, 102 Main Street East, Suite 5, Hawkesbury, ON K6A 1A3