Form ID

Publication date

Location of premises

Certificate

Township of Centre Wellington Reconstruction of St. Andrew St. East & Allan St. Trunk Sanitary Sewer Fergus Contract No. 3837-02

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Centre Wellington
Address of Owner
P.O. Box 10, 1 MacDonald Square, Elora, Ontario N0B 1S0
Name of Contractor
Moorefield Excavating
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0
Name of Certifier
Triton Engineering Services Limited
Address of Certifier
175 Provost Lane, Fergus, Ontario N1M 3N3

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

Township of Centre Wellington, P.O. Box 10, 1 MacDonald Square, Elora, Ontario N0B 1S0, Attention