Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Township of North Glengarry
Address of Owner
90 Main St. P.O. Box 700, Alexandria, ON K0C 1A0
Name of Contractor
Malyon Excavation Ltd.
Address of Contractor
17885 South Branch Road, Cornwall, ON K6K 1T3
Name of Certifier
EVB Engineering
Address of Certifier
800 Second St. West, Cornwall, ON K6J 1H6

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

Sarah Huskinson, CAO/Clerk Township of North Glengarry, 90 Main St. P.O. Box 700, Alexandria, Ontario K0C 1A0