Form ID

Publication date

Location of premises

Certificate

Construction of road, sewers, watermains and appurtenant storm water management works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1232046 Ontario Inc.
Address of Owner
PO Box 760, Rockwood, ON N0B 2K0
Name of Contractor
Drexler Construction Limited
Address of Contractor
R.R. #1, Rockwood, ON N0B 2K0
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2

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

Owner - Address as above