Form ID

Publication date

Location of premises

Certificate

Replacement of Culvert No. 140830

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Wellington
Address of Owner
74 Woolwich Street, Guelph, ON N1H 3T9
Name of Contractor
Drexler Construction Limited
Address of Contractor
R.R. #1, 5274 County Road 27, Rockwood, ON N0B 2K0
Name of Certifier
McCormick Rankin Corporation
Address of Certifier
2655 North Sheridan way, Mississauga, ON L5K 2P8

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

As Above