Form ID

Publication date

Location of premises

Certificate

Road Works, Ditch Construction, Culvert Installation and Restoration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Tillsonburg
Address of Owner
200 Broadway St., 2nd Floor, Town Center Mall, Tillsonburg,
Name of Contractor
Cayuga Materials & Construction Co. Ltd.
Address of Contractor
R.R. #4, Cayuga, Ont. N0A 1E0
Name of Certifier
Corporation of the Town of Tillsonburg
Address of Certifier
Operations Services, 10 Lisgar Ave., Tillsonburg, ON N4G 5A5

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

Corporation of the Town of Tillsonburg , 200 Broadway St., 2nd Floor, Town Center Mall, Tillsonburg, ON N6G 5A7