Form ID

Publication date

Location of premises

Certificate

Watermain, storm sewer and sanitary sewer installation on Hazelton Lane including roadway construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Landrush Incorporated.
Address of Owner
215 Thames Road West, Exeter, ON N0M 1S3.
Name of Contractor
Moorefield Excavating.
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0.
Name of Certifier
Dave Hicknell, Gamsby and Mannerow Limited.
Address of Certifier
255 Woodlawn Road West, Suite 210, Guelph, ON N1H 8J1.

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

Town of Exeter, PO Box 759, 406 Main St. South, Exeter, ON N0M 1S6.