Form ID

Publication date

Location of premises

Certificate

Contract No. 99-012, Single Surface Treatment.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Haldimand-Norfolk.
Address of Owner
70 Town Centre Drive, Townsend, ON N0A 1S0.
Name of Contractor
Duncor Enterprises Inc.
Address of Contractor
76 James Street, Barrie, ON L4N 6M5.
Name of Certifier
Dave Anderson.
Address of Certifier
As owner.

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

The Regional Municipality of Haldimand-Norfolk, 70 Town Centre Drive, Townsend, ON N0A 1S0.