Form ID

Publication date

Location of premises

Certificate

Municipal Well Pumphouse and Reservoir in the Hamlet of Blackstock (Township of Scugog), Regional Municipality of Durham

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Durham
Address of Owner
Box 623, 605 Rossland Road East, Whitby, ON L1N 6A3
Name of Contractor
HCL Engineering & Construction Ltd.
Address of Contractor
1757 Fairport Rd., Pickering, ON L1V 1T1
Name of Certifier
C.R. Curtis P.Eng. Director of Transportation & Field Services, Regional Municipality of Durham
Address of Certifier
Box 623, 105 Consumers Drive, Whitby, ON L1N 6A3

Identification of Premises

130 Greensboro Road, Lot 10, Conc. 5 Twp Scugog

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

Owner at above address