Form ID

Publication date

Location of premises

Certificate

Bridge Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Chatham-Kent
Address of Owner
315 King Street West, Chatham, Ont. N7M 5K8
Name of Contractor
Facca Incorporated
Address of Contractor
747 County Road 31, R.R. #1, Ruscom, ON N0R 1R0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
440 Park Avenue West, Chatham, ON N7M 1X2

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

Municipality of Chatham-Kent, 315 King Street West, Chatham, Ont. N7M 5K8