Form ID

Publication date

Location of premises

Certificate

Contract No. EPW2003-017 Pulverizing and Expanded Asphalt and Application of Double Surface Treatment Morning Glory Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Georgina
Address of Owner
26557 Civic Centre Road, Keswick, ON L4P 3G1
Name of Contractor
Miller Paving Limited
Address of Contractor
287 Ram Forest Road, Gormley, ON L0E 1G0
Name of Certifier
M.E. Baskserville, C.E.T., CMM
Address of Certifier
As Owner

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

The Corporation of the Town of Georgina, 26557 Civic Centre Road, Keswick, ON L4P 3G1