Form ID

Publication date

Location of premises

Certificate

Rehabilitation of Structure No. 12033, Sanderson Bridge on County Road 12

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Wellington
Address of Owner
Wellington County Engineer, Administration Centre, 74 Woolwi
Name of Contractor
Maloney & Pepping Construction Ltd.
Address of Contractor
345 Douglas St., Stratford, ON N5A 5R4.
Name of Certifier
McCormick Rankin Corpoation
Address of Certifier
2655 North Sheridan way, Mississauga, Ontario L5K 2P8

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

As Above