Form ID

Publication date

Location of premises

Certificate

Contract No. 3-2000 Projects 10-4011, 10-5202 Mutual Street, Storm and Sanitary Sewers Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ingersoll
Address of Owner
30 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5
Name of Contractor
Cayuga Materials & Construction Co. Limited.
Address of Contractor
R.R. #4, Cayuga, ON N0A 1E0
Name of Certifier
Town of Ingersoll
Address of Certifier
same as owner

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

Town of Ingersoll