Form ID

Publication date

Location of premises

Certificate

Mausoleum Masonry Restoration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Ingersoll
Address of Owner
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5
Name of Contractor
Robertson Restoration
Address of Contractor
P.O. Box 1660, Brantford, ON N3T 5V7
Name of Certifier
Sandra Lawson, Town Engineer, Town of Ingersoll
Address of Certifier
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5

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

Corporation of the Town of Ingersoll, Engineering Department, 130 Oxford Street, 2nd Floor, Ingersoll, Ontario N5C 2V5