Form ID

Publication date

Location of premises

Certificate

Close cut clearing, ditch cleanout, culvert placement and supply/stockpiling of Class 2 aggregate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Smooth Rock Falls
Address of Owner
142 First Street, P.O. Box 249, Smooth Rock Falls, ON P0L 2B
Name of Contractor
M.J. Labelle Co. Ltd
Address of Contractor
109 Highway 11 West, PO Box 610, Cochrane, ON P0L 1C0
Name of Certifier
D.F. Elliott Consulting Engineers Ltd.
Address of Certifier
36 Lakeshore Road, P.O. Box 2524, New Liskeard, ON P0J 1P0

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

Smooth Rock Falls Town Hall, Attention