Form ID

Publication date

Location of premises

Certificate

Installation of Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Midland
Address of Owner
575 Dominion Ave., Midland ON L4R 1R2
Name of Contractor
Maacon Construction Corp.
Address of Contractor
45 Robillard Drive, Penetanguishene, ON L9M 1G9.
Name of Certifier
D. Baker P.Eng.
Address of Certifier
Town of Midland

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

Town of Midland, 575 Dominion Ave., Midland ON L4R 1R2