Form ID

Publication date

Location of premises

Certificate

Surface Treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
Caledonia Satellite Office 1 Greendale drive, Unit #2, Caled
Name of Contractor
Norjohn Limited
Address of Contractor
2800 Townline Road PO Box 100, Thorold, ON L2V 3Y8
Name of Certifier
Mike King C.E.T.
Address of Certifier
1 Greendale drive, Unit #2, Caledonia ON N3W 2N5

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

Corporation of Haldimand County Clerks Department 95 Munsee Street Cayuga, Ontario N0A 1E0