Form ID

Publication date

Location of premises

Certificate

Argyle Street, Jefferson Street Outlet, Eureka Street Drain.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Forest.
Address of Owner
40 King Street West, Forest, Ont.
Name of Contractor
Van Bree Drainage & Bulldozing Ltd.
Address of Contractor
R.R. #6, Forest, ON N0N 1J0.
Name of Certifier
Jerome Trudell, Todgham & Case.
Address of Certifier
131 Heritage Road, Chatham, Ont. N7M 5R9.

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

Town of Forest.