Form ID

Publication date

Location of premises

Certificate

Contract No.: OP 05-012, Concrete Curb and Gutter Maintenance

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
Kohler Satellite Office, 1084 Regional Road 8, Cayuga, ON N0
Name of Contractor
R.F. Almas Company Limited
Address of Contractor
2146 Sandusk Road, P.O. Box 190, Hagersville, ON N0A 1H0
Name of Certifier
Mike King
Address of Certifier
Same as owner

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

Corporation of Haldimand County, Clerks Department, 45 Munsee Street, Cayuga, Ontario N0A 1E0