Form ID

Publication date

Location of premises

Certificate

500 sq. ft. addition

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Clean Water Agency
Address of Owner
One Yonge Street, Suite 1700, Toronto, ON M5E 1E5
Name of Contractor
Allen-Hastings Limited
Address of Contractor
28 Birch Street, R.R. 1, Miller Lake, ON N0H 1Z0
Name of Certifier
Same as owner
Address of Certifier
Same as owner

Identification of Premises

Southampton Wastewater Treatment Plant, 18 Caroline Street, Southampton, ON N0H 2L0

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

Land Registry Office, 203 Cayley Street, Walkerton, ON N0G 2V0