Form ID

Publication date

Location of premises

Certificate

Contract 12010 McKeand Street Railway Crossing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Ingersoll
Address of Owner
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5
Name of Contractor
Ingerwood Construction Limited
Address of Contractor
445 Springbank Ave. S., Woodstock, ON N4V 1E4
Name of Certifier
E.R. (Gene) McLaren
Address of Certifier
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5

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

Corporation of the Town of Ingersoll, Engineering Department, 30 Oxford Street, 2nd Floor, Ingersoll, Ontario N5C 2V5