Form ID

Publication date

Location of premises

Certificate

Contract No. 6250-01-06 Road 48 Single Surface Treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Elgin
Address of Owner
450 Sunset Drive, St. Thomas, ON N5R 5V1
Name of Contractor
Ashwarren International Inc.
Address of Contractor
2283 Argentia Rd., Unit 16, Mississauga, ON L5N 5Z2
Name of Certifier
Peter Dutchak, C.E.T.
Address of Certifier
As Owner

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

Mark G. McDonald, Chief Administrative Officer, County of Elgin, 450 Sunset Drive, St. Thomas, ON N5R 5V1