Form ID

Publication date

Location of premises

Certificate

Contract No. 2005 - PW - 130 Hot Mix Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the County of Prince Edward
Address of Owner
County Building/Shire Hall, P.O. Drawer 1550, Picton, ON K0K
Name of Contractor
Lafarge Paving and Construction (Eastern) Limited
Address of Contractor
P.O. Box 323, Hwy 62/401, Belleville, ON K8N 5A5
Name of Certifier
G.D. Jewell Engineering Inc.
Address of Certifier
R.R. # 7, 5503 Highway 62, Box 7200, Belleville, ON K8N 4Z7

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

The Corporation of the County of Prince Edward, County Building/Shire Hall, P.O. Drawer 1550, Picton, ON K0K 2T0
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