Form ID

Publication date

Location of premises

Certificate

Watermain Crossing the Indian River at Moffat Street, Project No. 99-2-7406.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Pembroke.
Address of Owner
1 Pembroke St. E., Pembroke, ON
Name of Contractor
Louis W. Bray Construction Ltd.
Address of Contractor
17460 Conc 9A East, St. Andrews West, ON K0C 2A0.
Name of Certifier
Ted Cooper, Greer Galloway Group
Address of Certifier
250 Quarry Road, Pembroke, ON.

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

The City of Pembroke, Pembroke, ON.