Form ID

Publication date

Location of premises

Certificate

Benmiller Inn Well Supply, Water Works Upgrades, Contract No. 02123

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Ashfield-Colborne-Wawanosh
Address of Owner
82133 Council Line, R.R. 5, Goderich, ON N7A 3Y2
Name of Contractor
969774 Ontario Incorporated, Elgin Construction
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8
Name of Certifier
B.M. Ross and Associates Limited
Address of Certifier
62 North Street, Goderich ON N7A 2T4

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

82133 Council Line, R.R. 5, Goderich, ON N7A 3Y2