Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Tecumseh
Address of Owner
917 Lesperance Road, Tecumseh, ON N8N 1W9
Name of Contractor
Shepley Road Maintenance Ltd.
Address of Contractor
2964 County Road No. 12, Essex, ON N8M 2X6
Name of Certifier
Kirby McArdle, P.Eng.
Address of Certifier
Same as Owner

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

917 Lesperance Road, Tecumseh, Ontario N8N 1W9