Form ID

Publication date

Location of premises

Certificate

2002 Surface Treatment Program

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Leamington
Address of Owner
38 Erie St. N., Leamington, ON N8M 2Z3
Name of Contractor
Shepley Road Maintenance Ltd.
Address of Contractor
2964 County Road #12, RR #2, Essex, ON N8M 2X6
Name of Certifier
Arthur Glab, P. Eng.
Address of Certifier
Same as owner

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

Municipality of Leamington, Office of Director of Corporate Services