Form ID

Publication date

Location of premises

Certificate

P02-07 - Regional Road 20 Watermain Extension.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Pelham.
Address of Owner
PO Box 400, Fonthill, Ont. L0S 1E0.
Name of Contractor
DeRose Bros. General Contracting Ltd.
Address of Contractor
401 Allanburg Road, Thorold, ON L2V 1A5
Name of Certifier
Earth Tech Canada Inc.
Address of Certifier
80 King St., 2nd Floor, Corbloc Building, St. Catharines, On

Identification of Premises

P02-07 Regional Road 20 Watermain Extension.

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

PO Box 400, Fonthill, Ont. L0S 1E0.