Form ID

Publication date

Location of premises

Certificate

Road Improvement Riverside Drive from Government Rd. to Shirley St.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Timmins.
Address of Owner
220 Algonquin Blvd. E., Timmins, Ont.
Name of Contractor
Interpaving Limited.
Address of Contractor
2385 Riverside Drive, Timmins, ON P4R 1M9
Name of Certifier
Greg Vaillancourt.
Address of Certifier
As Owner.

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

Jack Watson, City Clerk, City of Timmins, 220 Algonquin Blvd. E., Timmins, Ont.