Form ID

Publication date

Location of premises

Certificate

Pavement Marking, Hand Machine Painting

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Fort Erie
Address of Owner
Muncipal Centre, 1 Municipal Centre Drive, Fort Erie, ON
Name of Contractor
A1 Asphalt Maintenance Ltd.
Address of Contractor
3450 Landmark Road, Burlington, ON L7M 1S8

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

The Corporation of the Town of Fort Erie, 1 Municipal Centre Drive, Fort Erie, ON L2A 2S6