Form ID

Publication date

Location of premises

Certificate

Contract No. PW06-07, Surface Treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Quinte West
Address of Owner
7 Creswell Drive, P.O. Box 490, Trenton, ON K8V 5R6
Name of Contractor
Miller Paving Limited
Address of Contractor
287 Ram Forest Road, Gormley, ON L0H 1G0
Name of Certifier
Mr. Chris Angelo, Director of Public Works (Acting)
Address of Certifier
City of Quinte West

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

Owner
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