Form ID

Publication date

Location of premises

Certificate

Third Line Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Six Nations Council
Address of Owner
PO Box 5000, Ohsweken, ON
Name of Contractor
Direct Underground Inc.
Address of Contractor
112444 Keele St., Unit #4, PO Box 636, Maple, ON L6A 1S5
Name of Certifier
Dufferin Davis
Address of Certifier
PO Box 5000, Ohsweken, ON

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

Six Nations Council, PO Box 5000, Ohsweken, Ontario N0A 1M0