Form ID

Publication date

Location of premises

Certificate

Municipal Servicing of Subdivision

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Rijnen Construction Limited
Address of Owner
PO Box 9, Dorchester, ON N0L 1G0
Name of Contractor
Classic Excavating Inc.
Address of Contractor
1752 Donnybrook Dr., Dorchester, Ont. N0L 1G5
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
49 Frederick Street, Kitchener, ON N2H 6M7

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

Rijnen Construction Limited, PO Box 9, Dorchester, ON N0L 1G0