Form ID

Publication date

Location of premises

Certificate

Upgrades

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Sudbury
Address of Owner
P.O. Box 3700 Station “A”, Sudbury, ON P3A 5W5
Name of Contractor
LaRo Construction
Address of Contractor
1521 Fairburn Ave., Sudbury ON P3A 1N6

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

The Clerk, The Regional Municipality of Sudbury, P.O. Box 3700 Station A, Sudbury, Ontario P3A 5W5