Form ID

Publication date

Location of premises

Certificate

Sanitary Trunk Sewer and Appurtenances.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lindsay Water and Sewer Commission.
Address of Owner
50 Wolfe St., Lindsay, ON K9V 4S1.
Name of Contractor
Ron Robinson Limited.
Address of Contractor
3075 Maplegrove Road, Bowmanville, ON L1C 3K4.
Name of Certifier
Owner.
Address of Certifier
As owner.

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

Owner, as above.