Form ID

Publication date

Location of premises

Certificate

Roof Slab Reinforcement: 1. Mildmay-Carrick Central School 2. Bruce Township Central School.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bluewater District School Board.
Address of Owner
351 First Avenue North, Chesley, ON N0G 1L0.
Name of Contractor
Leo Al's Contracting.
Address of Contractor
224 Kincardine Highway, Box 670, Walkerton, ON N0G 2V0.
Name of Certifier
Erdmann W. Knaack Architect.
Address of Certifier
R.R. #4, PO Box 327, Chatsworth, ON N0H 1G0.

Identification of Premises

1. Box 310 Vincent Street, Mildmay, Ontario N0G 1J0 2. R.R. #3, Part L5, Conc. 7, Tiverton, Ontario N0G 2T0.

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

Bluewater District School Board, 351 First Avenue North, Chesley, ON N0G 1L0.