Form ID

Publication date

Location of premises

Certificate

Contract No. 00-012 Single Surface Treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Haldimand-Norfolk
Address of Owner
70 Town Centre Drive, Townsend, ON N0A 1S0
Name of Contractor
Norjohn Limited.
Address of Contractor
P.O. Box 100, Thorold, Ont. L2V 3Y8.
Name of Certifier
Dave Anderson
Address of Certifier
As owner

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

The Regional Municipality of Haldimand-Norfolk, 70 Town Centre Drive, Townsend, ON N0A 1S0