Form ID

Publication date

Location of premises

Certificate

North Shore Sanitary Trunk Sewer Upgrade Stage 3 Contract #06-9559

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Stratford
Address of Owner
82 Erie Street, 3rd Floor, Stratford, ON N5A 2M4
Name of Contractor
969774 Ontario Limited (Elgin Construction)
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8

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

as above