Form ID

Publication date

Location of premises

Certificate

2005 Phase 2 Asphalt Overlays, Contract 2005-03

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Niagara Falls
Address of Owner
4310 Queen Street, PO Box 1023, Niagara Falls, ON L2E 6X5
Name of Contractor
Norjohn Limited
Address of Contractor
9101 Brown Road, Niagara Falls, ON L2E 6S5
Name of Certifier
Tom Kuchyt
Address of Certifier
Same as Owner

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

4310 Queen St., Niagara Falls, ON L2E 6X5
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