Form ID

Publication date

Location of premises

Certificate

Township of Centre Wellington, Traffic Signals - East Mill Street, Elora, Contract No. 6031-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Centre Wellington
Address of Owner
PO Box 10, 1 MacDonald Square, Elora, ON N0B 1S0
Name of Contractor
J.C.H. Contracting
Address of Contractor
R.R. #1, Fergus, ON N1M 2W3
Name of Certifier
Triton Engineering Services Limited
Address of Certifier
175 Provost Lane, Fergus, ON N1M 3N3

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

Township of Centre Wellington, PO Box 10, 1 MacDonald Square, Elora, ON N0B 1S0 Attention