Form ID

Publication date

Location of premises

Certificate

The Completion of Bridge 39 MTO Size No. 023-0141

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Zorra
Address of Owner
274620 27th Line R.R. #4, Ingersoll, ON
Name of Contractor
Maloney & Pepping Construction Ltd.
Address of Contractor
345 Douglas St. Stratford, ON N5A 5R4
Name of Certifier
K. Smart Associates Limited
Address of Certifier
85 McIntyre Drive, Kitchener, ON N2R 1H6

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

Township of Zorra, PO Box 306, Ingersoll, ON N5C 3K5