Form ID

Publication date

Location of premises

Certificate

Contract No.: 10-T66 Various Storm Drainage & Recreational Facility Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall
Address of Owner
1225 Ontario Street, Cornwall, ON
Name of Contractor
Malyon Excavation Ltd.
Address of Contractor
17885 South Branch Rd., Cornwall, ON K6H 5R6
Name of Certifier
City of Cornwall
Address of Certifier
1246 Ontario Street Cornwall, ON K6H 5T9

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

1246 Ontario Street, Cornwall, Ontario