Form ID

Publication date

Location of premises

Certificate

Resurfacing of Highway No. 6 - Tower Street South Contract No. 5821-99.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Centre Wellington.
Address of Owner
PO Box 10, 1 MacDonald Square, Elora, ON N0B 1S0.
Name of Contractor
J.G. Goetz Construction Limited.
Address of Contractor
400 Elizabeth St., Guelph, ON N1H 6L3.
Name of Certifier
Triton Engineering Services Limited.
Address of Certifier
175 Provost Lane, Fergus, ON N1M 3N3.

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

Township of Centre Wellington, PO Box 10, 1 MacDonald Square, Elora, ON N0B 1S0 Attention