Form ID

Publication date

Location of premises

Certificate

Underground servicing, curb & gutters, pavement restoration.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
A. Schmidt.
Address of Owner
PO Box 11, St. Jacobs, ON N0B 2N0.
Name of Contractor
Subterra Waterloo Inc.
Address of Contractor
934 Guelph St., Kitchener, ON N2H 5Z6.
Name of Certifier
Muirtec Incorporated.
Address of Certifier
312 St. Anne Ave., PO Box 178, St. Agatha, ON N0B 2L0.

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

Township of Woolwich, 69 Arthur St., Elmira, ON N3B 2Z6.