Form ID

Publication date

Location of premises

Certificate

Contract No. OP T05-12, Pavement Restoration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of King
Address of Owner
2075 King Rd., King City, ON L7B 1A1
Name of Contractor
Miller Paving Limited
Address of Contractor
505 Miller Ave., Box 4080, Markham, ON L3R 9R8
Name of Certifier
William Boston, C.E.T.
Address of Certifier
As Owner

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

2075 King Rd., King City, ON L7B 1A1