Form ID

Publication date

Location of premises

Certificate

Contract No. 4 - 2002 Project 10 - 4041, 10 - 5208 & 01 - 0251 - 072 Skye Street Sanitary and Storm Sewers, Watermain and Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ingersoll
Address of Owner
130 Oxford Street, Ingersoll, ON N5C 2V5
Name of Contractor
969774 Ontario Limited
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8
Name of Certifier
E.R. (Gene) McLaren C.E.T. Engineering Services Co-ordinator
Address of Certifier
As owner

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

Town of Ingersoll, 130 Oxford Street, Ingersoll, ON N5C 2V5