Form ID

Publication date

Location of premises

Certificate

Contract No. O 06-01 for the placement of surface asphalt pavement, concrete curb and gutter and sodding. For the installation of storm sewers, granular base course, resurfacing of roads, including curb and gutter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre Street South, Oshawa, ON L1H 3Z7
Name of Contractor
Lafarge Paving & Construction Ltd.
Address of Contractor
1255 Wilson Road North,
Name of Certifier
M.J. Sims, P. Eng.
Address of Certifier
As above

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

Owner at above address
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