Form ID

Publication date

Location of premises

Certificate

6th and 7th Line Asphalt Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Guelph/Eramosa
Address of Owner
8348 Wellington Road 124 Rockwood ON N0B 2K0
Name of Contractor
Cox Construction
Address of Contractor
965 York Road, Guelph, ON N1E 6Y9
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4

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

Township of Guelph/Eramosa, 8348 Wellington Road 124 Rockwood, Ontario N0B 2K0