Form ID

Publication date

Location of premises

Certificate

Contract 12010 Laurel Crescent Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Ingersoll
Address of Owner
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5
Name of Contractor
McCann Paving Inc.
Address of Contractor
Box 100, RR5, Stratford, ON
Name of Certifier
E.R. (Gene) McLaren
Address of Certifier
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5

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

Corporation of the Town of Ingersoll, Engineering Department, 30 Oxford Street, 2nd Floor, Ingersoll, Ontario N5C 2V5