Form ID

Publication date

Location of premises

Certificate

Sanitary and Storm Sewers and Road works to base course asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Guycoki (Eastern) Limited
Address of Owner
P.O. Box 1297, Richmond, ON K0A 2Z0
Name of Contractor
Thomas Cavanagh Construction Limited
Address of Contractor
R.R. #2, Ashton, ON K0A 1B0
Name of Certifier
Capital Engineering Group Ltd. A. Naoum, P. Eng.
Address of Certifier
110 Dossetter Way, Ottawa, ON K1G 4S5

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

P.O. Box 1297, Richmond, Ontario K0A 2Z0