Form ID

Publication date

Location of premises

Certificate

Contract No. BCH 01-15 Ross Street Reconstruction - Village of Lucknow

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the County of Bruce
Address of Owner
Box 398, 30 Park Street, Walkerton, ON N0G 2V0
Name of Contractor
Lavis Contracting Co. Limited
Address of Contractor
R.R. #2, Clinton, ON N0M 1L0
Name of Certifier
Corporation of the County of Bruce
Address of Certifier
Box 398, 30 Park Street, Walkerton, ON N0G 2V0

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

Corporation of the County of Bruce, Box 398, 30 Park Street, Walkerton, ON N0G 2V0