Form ID

Publication date

Location of premises

Certificate

Municipal Drain No. 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Nofolk County
Address of Owner
183 Main Street, Delhi, ON N4B 2M3
Name of Contractor
W.D. Excavating Limited
Address of Contractor
58 Stover Street South, Norwich, ON N0J 1P0
Name of Certifier
G. Douglas Vallee Limited
Address of Certifier
51 Park Road, R.R. #1, Simcoe, ON N3Y 4J9

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

183 Main Street, Delhi, ON N4B 2M3