Form ID

Publication date

Location of premises

Certificate

Street Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay.
Address of Owner
500 E Donald St., Thunder Bay, ON P7B 6T8
Name of Contractor
Hot In Place Recycling Inc.
Address of Contractor
85 Passmore Avenue, Agincourt, ON M1S 3B6
Name of Certifier
Rick Harms, P. Eng.
Address of Certifier
City of Thunder Bay, Engineering Division

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

City of Thunder Bay, 500 E Donald St. Thunder Bay, ON P7B 6T8