Form ID

Publication date

Location of premises

Certificate

Municipal Services Morris Estate: Prayer St # H0007

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
648522 Ontario Inc.
Address of Owner
1139 Avenue Des Pins, Rockland Ontario
Name of Contractor
Cornwall Gravel Co. Ltd.
Address of Contractor
390 11th Street West, Cornwall, ON K6H 5R9
Name of Certifier
Neil A. levac, Engineering Ltd.
Address of Certifier
2884 Laporte St. Rockland Ontario

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

City of Rockland