Form ID

Publication date

Location of premises

Certificate

Construction of the Carruthers Creek Sewage Pumping Station in the Town of Ajax, Regional Municipality of Durham.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Durham.
Address of Owner
Box 623, 605 Rossland Road East, Whitby, Ont. L1N 6A3.
Name of Contractor
Sutherland-Schultz Inc.
Address of Contractor
401 Fountain Street North, Cambridge, ON N3H 5P3.
Name of Certifier
T. Prevedel, P. Eng., Director of Transportation & Construction Services, Regional Municipality of Durham.
Address of Certifier
P.O. Box 623, 105 Consumers Drive, Whitby, Ont. L1N 6A3.

Identification of Premises

Pt. Lot 6, Range 3, Broken Front Concession, 40R-16487, Pt. 2, Ajax.

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

Owner at above address.