Form ID

Publication date

Location of premises

Certificate

Township of Centre Wellington, St. Andrew St. Sewage Pumping Station and discharge forcemain, Fergus, Ontario - Contract No. 3837-02-A.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporate of Centre Wellington.
Address of Owner
P.O. Box 10, 1 MacDonald Square, Elora, Ont. N0B 1S0.
Name of Contractor
Wellington Construction Inc.
Address of Contractor
P.O. Box 40, Moorefield, Ont. N0G 2K0.
Name of Certifier
Triton Engineering Services Limited.
Address of Certifier
175 Provost Lane, Fergus, Ont. N1M 3N3.

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

Township of Centre Wellington, P.O. Box 10, 1 MacDonald Square, Elora, Ont. N0S 1S0. Attention