Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bluewater District School Board
Address of Owner
351 First Avenue North, Box 190, Chesley, ON N0G 1L0
Name of Contractor
Wayne's Electric (Hanover) Ltd.
Address of Contractor
570 First Street, Hanover, ON N2N 2X5
Name of Certifier
Mr. David Sladic, Project Manager - DEI & Associates Inc.
Address of Certifier
55 Northland Road, Waterloo, ON N2V 1Y8

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

Bluewater District School Board