Form ID

Publication date

Location of premises

Certificate

Contract No. O 00-12 for the routing cleaning and sealing of pavement cracks using hot poured rubberized bituminous materials Various locations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre St. S., Oshawa, ON L1H 3Z7
Name of Contractor
Multiseal Inc.
Address of Contractor
203 Toryork Drive, Toronto, ON M9L 1Y2
Name of Certifier
M.J. Sims, P.Eng.
Address of Certifier
As above

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

Owner at above address