Form ID

Publication date

Location of premises

Certificate

To provide all labour, material, tools, equipment and supervision required to complete Vestibule and Elevator Addition at Fenwick United Church

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fenwick United Church
Address of Owner
1050 Church St., Fenwick, ON L0S 1C0
Name of Contractor
Bromac Construction & Engineering Ltd.
Address of Contractor
P.O. Box 62, 796 Highway 20 West, Fenwick, ON L0S 1C0
Name of Certifier
Phil Johnson
Address of Certifier
c/o 1050 Church St., Fenwick, ON L0S 1C0

Identification of Premises

Lots 1 and 2 on the west side of Church Street, Registered Plan 16 - Township of Pelham now in the Town of Pelham