Form ID

Publication date

Location of premises

Certificate

Main Street East Storm Sewer Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The
Name of Contractor
Moorefield Excavating Ltd.
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0
Name of Certifier
Gamsby and Mannerow Limited
Address of Certifier
975 Wallace Ave. N., Listowel, ON N4W 1M6

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

Town of North Perth - Administrative Offices (see Address for Service above)