Form ID

Publication date

Location of premises

Certificate

Hot Mix Paving.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Haldimand-Norfolk.
Address of Owner
70 Town Centre Drive, Townsend, ON.
Name of Contractor
Cayuga Materials & Construction Company Ltd.
Address of Contractor
R.R. #4, Cayuga, Ont. N0A 1E0.
Name of Certifier
Marvin Fehrman, C.E.T.
Address of Certifier
As owner.

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

The Regional Municipality of Haldimand-Norfolk, 70 Town Centre Drive, Townsend, Ont. N0A 1S0.