Form ID

Publication date

Location of premises

Certificate

Town of Forest, Water Meter Installation Program, Contract No. 03023

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Lambton Shores
Address of Owner
19 Ann Street, PO Box 610, Forest, ON N0N 1J0
Name of Contractor
Canadian Water Services
Address of Contractor
716 Colonel Sam Drive, Oshawa, ON L1H 7Y2
Name of Certifier
B.M. Ross and Associates Limited
Address of Certifier
62 North Street, Goderich, ON N7A 2T4

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

Municipality of Lambton Shores, 19 Ann Street, PO Box 610, Forest, ON N0N 1J0