Form ID

Publication date

Location of premises

Certificate

Contract No. 118-00-01 Connecting Link Rehabilitation Hwy 118 & Hwy 121

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Dysart Et Al
Address of Owner
1 Maple Ave., Haliburton, ON K0M 1S0
Name of Contractor
Royel Paving Limited
Address of Contractor
P.O. Box 418, Lindsay, ON K9V 4S3
Name of Certifier
John D. Matthews, P.Eng.
Address of Certifier
4165 Fieldgate Dr., Unit 23, Mississauga, ON L4W 2M9

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

Municipality of Dysart Et Al, P.O. Box 389, 1 Maple Ave., Haliburton, ON K0M 1S0