Form ID

Publication date

Location of premises

Certificate

Contract 2005-5E Miscellaneous Asphalt Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Sault Ste. Marie
Address of Owner
99 Foster Drive,
Name of Contractor
Ellwood Robinson Limited
Address of Contractor
2075 Great Northern Road, Sault Ste. Marie, ON P6A 5K7
Name of Certifier
Don J. Elliott, P. Eng.
Address of Certifier
99 Foster Drive,

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

Office of the City Clerk, 99 Foster Drive, Sault Ste. Marie, ON P6A 5N1
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