Form ID

Publication date

Location of premises

Certificate

2002 Asphalt Program.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Leamington.
Address of Owner
38 Erie St. N., Leamington, Ont. N8N 2Z3.
Name of Contractor
Coco Paving (1990) Inc.
Address of Contractor
6725 South Service Road, Tecumseh, Ont. N8N 2M1.
Name of Certifier
Arthur Glab, P. Eng.
Address of Certifier
As owner.

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

Municipality of Leamington, Office of Director of Corporate Services.