Form ID

Publication date

Location of premises

Certificate

King Street and Sturgeon Street, Traffic Signals, Contract 10815.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Village of Omemee.
Address of Owner
1 King Street West, P.O. Box 1000, Omemee, Ont. K0L 2W0.
Name of Contractor
Stacey Electric Company Limited.
Address of Contractor
106 Howden Court, Scarborough, ON M1R 3E4.
Name of Certifier
Totten Sims Hubicki Associates (1997) Ltd.
Address of Certifier
513 Division Street, P.O. Box 910, Cobourg, Ont. K9A 4W4.

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

The Corporation of the Village of Omemee, 1 King Street West, Omemee, Ont. K0L 2W0.