Form ID

Publication date

Location of premises

Certificate

Village of Zurich, County Road 84 Watermain, Contract No. 02065

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Bluewater
Address of Owner
14 Mill Street, Box 250, Zurich, ON N0M 2T0
Name of Contractor
Lavis Contracting Co. Ltd.
Address of Contractor
R.R. #2, Clinton, ON N0M 1L0.
Name of Certifier
B.M. Ross and Associates Limited
Address of Certifier
62 North Street, Goderich, ON N7A 2T4

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

14 Mill Street, Box 250, Zurich, ON N0M 2T0