Form ID

Publication date

Location of premises

Certificate

Contract No.: EI 08-036 Parking Lot Paving for the Hagersville Arena and Grandview Lodge, Dunnville

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
Caledonia Satellite Office, 282 Argyle Street South, Caledon
Name of Contractor
C.R.L. Campbell Construction & Drainage Ltd.
Address of Contractor
11575 Burnaby Rd. R.R. #2, Wainfleet, ON L0S 1V0
Name of Certifier
Lloyd Rollinson, Supervisor, Engineering Projects
Address of Certifier
as owner

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

Corporation of Haldimand County, Clerk's Department, 95 Munsee Street, Cayuga, Ontario N0A 1E0