Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Arran-Elderslie
Address of Owner
1925 Bruce Road 10, PO Box 1925, Chesley, ON N0G 1L0
Name of Contractor
Al Reich's Backhoeing and Haulage Ltd.
Address of Contractor
PO Box 668, Walkerton, ON N0G 2V0
Name of Certifier
GSS Engineering Consultants Ltd. Rakesh Sharma, P. Eng.
Address of Certifier
1010 9th Ave W., Unit 104D, Owen Sound, ON N4K 5R7

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

Municipality of ArranElderslie,1925 Bruce Road 10, PO Box 1925, Chesley, ON N0G 1L0