Form ID

Publication date

Location of premises

Certificate

17th Avenue Construction Known as Project No. 4587/4009-B

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Hanover/Barry’s Construction and Insulation Ltd.
Address of Owner
341 10th Street, Hanover, ON N4N 1P5 /R.R. #2, Allenford, ON
Name of Contractor
Cedarwell Excavating Ltd.
Address of Contractor
R.R. #1, Hanover, ON N4N 3B8
Name of Certifier
Robert A. Weber, C.E.T.
Address of Certifier
101 14th Avenue, Hanover, ON N4N 3W1

Identification of Premises

17th Avenue

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

C.A.O. Town of Hanover, 341 10th Street, Hanover, ON N4N 1P5 Barrys Construction & Insulation Ltd., R.R. #2, Allenford, ON N0H 1A0