Form ID

Publication date

Location of premises

Certificate

Contract No.: 2006-02 Reconstruction of Road 38

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Central Frontenac
Address of Owner
1084 Elizabeth Street, P.O. Box 89, Sharbot Lake, ON K0H 2P0
Name of Contractor
Lafarge Paving & Construction (Eastern) Limited
Address of Contractor
1600 Westbrook Road, Kingston, ON K7P 2Y7
Name of Certifier
GENIVAR Ontario Inc.
Address of Certifier
9 Broad Street, Suite 306, Brockville, ON K6V 6Z4

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

Township of Central Frontenac, 1084 Elizabeth Street, P.O. Box 89, Sharbot Lake, Ontario K0H 2P0, Attention