Form ID

Publication date

Location of premises

Certificate

Contract No.: BC-96-159 Construction of storm sewers, sanitary sewers and private service connections along with road construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
King-Algra Builders Incorporated.
Address of Owner
39 Maidstone Ave. E., Unit D, Essex, ON N8M 2J3.
Name of Contractor
Amico Contracting & Engineering Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Oldcastle, ON N0R 1L0.
Name of Certifier
Bruce D. Crozier Engineering Inc.
Address of Certifier
209 Erie Street South, Leamington, ONN8H 3C1.

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

39 Maidstone Ave. E., Unit D, Essex, ON N8M 2J3.