Form ID

Publication date

Location of premises

Certificate

2002 Culvert Rehabilitation Regional Road 54

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
282 Argyle Street South, Caledonia ON N3W 1K7
Name of Contractor
Facca Incorporated
Address of Contractor
747 County Road 31, R.R. #1, Ruscom, ON N0R 1R0
Name of Certifier
R.C. Jones P.Eng.
Address of Certifier
Gamsby and Mannerow Limited 210-255 Woodlawn Road West, Guel

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

Haldimand County, 282 Argyle Street S., Caledonia ON N3W 1K7