Form ID

Publication date

Location of premises

Certificate

Eamers Corners Storm Sewer (Phase II) Contract No. 99-T52.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall.
Address of Owner
1225 Ontario Street, Cornwall, ON K6H 5T9.
Name of Contractor
Ray Lepage Construction Ltd.
Address of Contractor
R.R. #1, Long Sault, ON K0C 1P0.
Name of Certifier
City of Cornwall.
Address of Certifier
As owner.

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

City of Cornwall, Address as owner.