Form ID

Publication date

Location of premises

Certificate

Road Reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Dundas.
Address of Owner
60 Main Street, Dundas, ON L9H 2P8.
Name of Contractor
Daimerson Construction.
Address of Contractor
1230 Midway Boulevard, Mississauga, ON L5T 2C8.
Name of Certifier
Philips Planning and Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2.

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

Owner - Address as above.