Form ID

Publication date

Location of premises

Certificate

Contract 17-00 Hot Mix Paving, Various Locations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Victoria
Address of Owner
26 Francis St., Lindsay, ON K9V 5R8
Name of Contractor
Royel Paving Limited.
Address of Contractor
P.O. Box 418, Lindsay, ON K9V 4S3.
Name of Certifier
County of Victoria
Address of Certifier
26 Francis St., Lindsay, ON K9V 5R8

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

26 Francis St., Lindsay, ON K9V 5R8