Form ID

Publication date

Location of premises

Certificate

Surface Treatment and expanded asphalt.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Victoria.
Address of Owner
26 Francis Street, Lindsay, ON K9V 5R8.
Name of Contractor
Royel Paving Limited.
Address of Contractor
P.O. Box 418, Lindsay, ON K9V 4S3.
Name of Certifier
County of Victoria.
Address of Certifier
26 Francis Street, Lindsay, ON K9V 5R8.

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

26 Francis Street, Lindsay, ON K9V 5R8