Form ID

Publication date

Location of premises

Certificate

County Road No. 4 Concrete Road Crack Sealing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Lennox and Addington
Address of Owner
County Road 4 south of Highway 401
Name of Contractor
Roadmaster Road Construction and Sealing Ltd.
Address of Contractor
200 Pellatt Avenue, Weston, ON M9N 2P6
Name of Certifier
Alwyn Huigens
Address of Certifier
654 Norris Court, Kingston, ON

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

97 Thomas Street East, Postal Bag 1000, Napanee, Ontario K7R 3S9