Form ID

Publication date

Location of premises

Certificate

Base Asphalt, Surface Asphalt, Curb and Gutter, Road Granulars, Boulevard Restoration, Concrete Sidewalk Storm Sewers and Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Tillsonburg
Address of Owner
200 Broadway Street, 2nd Floor, Tillsonburg, ON N4G 5A7
Name of Contractor
Viewcon Construction Ltd.
Address of Contractor
95 Young Street, Woodstock, ON N4S 3L6
Name of Certifier
Kevin DeLeebeeck, P. Eng.
Address of Certifier
Same as owner

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

200 Broadway Street, 2nd Floor, Tillsonburg, ON, N4G 5A7