Form ID

Publication date

Location of premises

Certificate

Five (5) Year Asphalt Pavement - Contract #2004-101 (Year 2005 only)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Timmins
Address of Owner
220 Algonquin Boulevard East, Timmins, ON P4N 1B3
Name of Contractor
Miller Paving Limited
Address of Contractor
PO Box 886, Hwy. 655, Timmins, ON P4N 7G7
Name of Certifier
Patrick Seguin, P.Eng., Assistant Engineer
Address of Certifier
220 Algonquin Blvd. East, Timmins, ON P4N 1B3

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

Jack Watson, City Clerk, City of Timmins, 220 Algonquin Blvd. East, Timmins, ON P4N 1B3
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