Form ID

Publication date

Location of premises

Certificate

Upgrading

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
PO Box 5000, Stn A, Sudbury, ON P3A 5P3
Name of Contractor
Interpaving Limited.
Address of Contractor
76 Loach's Rd., Sudbury, Ont. P3E 2P7.
Name of Certifier
Kevin Shaw P.Eng.
Address of Certifier
As above

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