Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
Kohler Office / Garage, 1162 Kohler Rd., Cayuga, ON N0A 1E0
Name of Contractor
Decew Construction Inc.
Address of Contractor
605 James St., North, 3rd Floor, Hamilton, ON L8L 1K1
Name of Certifier
Wray Oakes, Manager, Roads Operations
Address of Certifier
Same as Owner

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

Corporation of Haldimand County, Clerk's Department, 45 Munsee Street North, Cayuga, Ontario N0A 1E0