Form ID

Publication date

Location of premises

Certificate

18-T09 Watermain Lining on Various Streets

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall
Address of Owner
1225 Ontario Street, Cornwall, ON
Name of Contractor
Aquarehab (Canada) Inc.
Address of Contractor
2145 Michelin Street, Laval, Quebec, Canada

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

Owner's address