Form ID

Publication date

Location of premises

Certificate

Contract No. PW-E-02-042. Testing and Sealing of Trunk Sanitary Sewer main Joints.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Norfolk County.
Address of Owner
183 Main Street, Delhi, Ont. N4B 2M3.
Name of Contractor
Sewer-Matic Drain Services.
Address of Contractor
4140 Belgreen Drive, Ottawa, ON K1G 3N2
Name of Certifier
Tom Cole, C.E.T.
Address of Certifier
Same as owner

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

The Corporation of Norfolk County, 50 Colborne Street South, Simcoe, Ont. N3Y 4N5.