Form ID

Publication date

Location of premises

Certificate

Pulverizing, new road base and surface treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Clarence-Rockland
Address of Owner
1560 Laurier Street, Rockland, ON K4K 1P7
Name of Contractor
Coco Paving Inc.
Address of Contractor
994 Moodie Drive, Ottawa, ON K2R 1H3
Name of Certifier
Levac Robichaud Leclerc Associates Ltd.
Address of Certifier
1-2884 Chamberland St., Rockland, ON K4K 1M6

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

Levac Robichaud Leclerc Associates Ltd., 1-2884 Chamberland St., Rockland, Ontario K4K 1M6