Form ID

Publication date

Location of premises

Certificate

Contract PW-99-0-11, 1999 Surface Treating Tender. Supply and Place Surface Treatment on various roads within the Municipality of Central Elgin.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Municipality of Central Elgin.
Address of Owner
450 Sunset Drive, St. Thomas, ON N5R 5V1.
Name of Contractor
Cornell Construction Ltd.
Address of Contractor
PO Box 785 Hardy Road, Brantford, ON N3T 5R7
Name of Certifier
Lloyd J. Perrin, Coordinator of Physical Services.
Address of Certifier
As owner.

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

Ken G. Sloan, Administrator/Clerk, Municipality of Central Elgin, 450 Sunset Drive, St. Thomas, ON N5R 5V1.