Form ID

Publication date

Location of premises

Certificate

Contract # 15PSG-005 Milling of Asphalt, Grading, Hot Mix Paving, Misc. Concrete and Rehab. Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Smiths Falls
Address of Owner
Box 695, 77 Beckwith Street North, Smiths Falls, ON K7A 4T6
Name of Contractor
Thomas Cavanagh Construction Limited
Address of Contractor
9094 Cavanagh Rd., Ashton, ON K0A 1B0
Name of Certifier
Malcolm Morris, CAO Town of Smiths Falls
Address of Certifier
Box 695, 77 Beckwith Street North, Smiths Falls, ON K7A 4T6

Identification of Premises

Brockville St., Thurber St., Broadview Ave. E., Beckwith St. N., Davidson, Winnifred St. N., Old Slys Road

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

Box 695, 77 Beckwith Street North, Smiths Falls, ON K7A 4T6