Form ID

Publication date

Location of premises

Certificate

Chauvin Drain Culvert

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Lakeshore.
Address of Owner
PO Box 580, 419 Notre Dame Street, Belle River, ON N0R 1A0.
Name of Contractor
Intrepid General Limited.
Address of Contractor
R.R. #4, 51 Sass Road, Chatham, Ont. N7M 5J4.
Name of Certifier
Todgham & Case Associates Incorporated.
Address of Certifier
131 Heritage Road, PO Box 1326, Chatham, ON N7M 5R9.

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

Corporation of the Town of Lakeshore, PO Box 580, 419 Notre Dame St., Belle River, ON N0R 1A0.