Form ID

Publication date

Location of premises

Certificate

Culvert over Horne Drain - 9th Line Raleigh.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Chatham-Kent.
Address of Owner
P.O. Box 640, Chatham, Ont. N7M 5K8.
Name of Contractor
Henry Heyink Construction Ltd.
Address of Contractor
PO Box 1341, 275 Colborne Street, Chatham, ON N7M 4R9.
Name of Certifier
McGeorge and Barry Ltd.
Address of Certifier
55 Raleigh Street, Chatham, Ont. N7M 2M6.

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

Municipality of Chatham-Kent, P.O. Box 640, Chatham, Ont. N7M 5K8.