Form ID

Publication date

Location of premises

Certificate

Watermain installation, Project No. 4600

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Hanover
Address of Owner
341 10th Street, Hanover, ON N4N 1P5
Name of Contractor
Welsh Construction
Address of Contractor
Box 459, Southampton, ON N0H 2L0
Name of Certifier
Steven Sharp, BESc
Address of Certifier
101 14th Avenue, N4N 3W1

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

Mr. Willam Roberts, C.A.O, Town of Hanover, 341 10th Street, Hanover, ON N4N 1P5