Form ID

Publication date

Location of premises

Certificate

Contract No. EI 02-030 - Cold in Place Recycling & Hot Mix.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County.
Address of Owner
Caledonia Satellite Office, 1 Greendale Drive, Unit 2, Caled
Name of Contractor
Cayuga Materials & Construction Company Ltd.
Address of Contractor
R.R. #4, Cayuga, Ont. N0A 1E0.

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

Corporation of Haldimand County, Clerks Department, 95 Munsee St., Cayuga, Ont. N0A 1E0.