Form ID

Publication date

Location of premises

Certificate

Expanded Asphalt Recycling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the County of Essex, Office of the County Engineer
Address of Owner
360 Fairview Ave. W., Essex, Ont. N8M 1Y6
Name of Contractor
Hard-Rock Pavement Recycling Inc.
Address of Contractor
198 Welland St., PO Box 220, Port Colborne ON L3K 5V8
Name of Certifier
Stuart A. Kelch, P. Eng., County Engineer, Corporation of the County of Essex
Address of Certifier
360 Fairview Ave. W., Essex, ON N8M 1Y6

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

Corporation of the County of Essex, 360 Fairview Ave. W., Essex, ON N8M 1Y6