Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kawartha Lakes
Address of Owner
26 Francis Street, Lindsay, ON K9V 5R8
Name of Contractor
Royel Paving (a division of CRH Group)
Address of Contractor
PO Box 418, 3664 Hwy #35 North, Lindsay, ON K9V 4S3
Name of Certifier
Juan Rojas, P. Eng, PMP Director of Engineering & Corporate Assets
Address of Certifier
12 Peel Street, PO Box 9000, Lindsay, ON K9V 5R8

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

Town Clerk, 26 Francis Street, Lindsay, Ontario, K9V 5R8