Form ID

Publication date

Location of premises

Certificate

Project No. E 0001 Contract No. 2, Port Burwell Water System. Recoating of interior and exterior of the Port Burwell Elevated Water Tank

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Malahide
Address of Owner
87 John Street, Aylmer, ON N5H 2C3
Name of Contractor
Dayson Industrial Services Inc.
Address of Contractor
PO Box 3264, Depot 4, 291 Rosslyn Avenue North, Hamilton, ON
Name of Certifier
Envirocon Services
Address of Certifier
10 Audrey Avenue, London, ON N6A 2Y9

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

Chief Administrative Officer, Township of Malahide, 87 John Street, Aylmer, ON N5H 2C3