Form ID

Publication date

Location of premises

Certificate

Samuel Street and Area Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Woolwich
Address of Owner
24 Church Street, Elmira, ON N3B 2Z6 Attention: Mr. Rod Krug
Name of Contractor
Steed & Evans Limited
Address of Contractor
300 Ament Line, P.O. Box 160, St. Clements, ON N0B 2M0 Atten
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
49 Frederick Street, Kitchener, ON N2H 6M7

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

Clerk's Office, Township of Woolwich, 24 Church Street, Elmira, ON N3B 2Z6