Form ID

Publication date

Location of premises

Certificate

Flat Rate Water Connections and/or Emergency Works and Maintenance Works; 98-2800.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Peel.
Address of Owner
10 Peel Centre Drive, Brampton, ON L6T 4B9.
Name of Contractor
F.C.M. Construction Limited.
Address of Contractor
R.R. # 1, 13583 Kennedy Road, Inglewood, Ont. L0N 1K0.
Name of Certifier
Carson Mininch.
Address of Certifier
10 Peel Centre Drive, Brampton, ON L6T 4B9.

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

Regional Clerk, Region of Peel, 10 Peel Centre Drive, Brampton, ON L6T 4B9.