Form ID

Publication date

Location of premises

Certificate

Asphalt/Concrete Patching

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
PO Box 5000, Station A, Sudbury, ON P3A 5P3
Name of Contractor
1183836 Ont. Ltd. o/a B.T. Paving
Address of Contractor
8 Davenport Court, Sudbury, ON P3A 5V1

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

The Clerk, The City of Greater Sudbury, PO Box 5000, Station A, Sudbury, ON P3A 5P3