Form ID

Publication date

Location of premises

Certificate

Hopgood Sideroad Drain (W. Side) & Lys Branch Klingbile Drain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Lakeshore
Address of Owner
419 Notre Dame St., PO Box 580, Belle River, ON N0R 1A0
Name of Contractor
Jeff Shepley Excavating Ltd.
Address of Contractor
2964 County Road #12, RR #2, Essex, ON N8M 2X6
Name of Certifier
N.J. Peralta Engineering Ltd.

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

Corporation of the Town of Lakeshore