Form ID

Publication date

Location of premises

Certificate

Watermain Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
PO Box 5000, Station A, Sudbury, ON P3A 5P3
Name of Contractor
763535 Ontario Inc. o/a Labelle Bros Exc.
Address of Contractor
831 Drive In Road, Cache Bay, ON P0H 1G0
Name of Certifier
: Kevin Shaw P.Eng.
Address of Certifier
As owner

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

The Clerk, The City of Greater Sudbury, PO Box 5000, Stn A, Sudbury, ON P3A 5P3