Form ID

Publication date

Location of premises

Certificate

Contract No. 1999-06/Hot Mix Asphalt Paving.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Elgin.
Address of Owner
450 Sunset Drive, St. Thomas, ON N5R 5V1.
Name of Contractor
Walmsley Bros. Ltd.
Address of Contractor
1796 Commissioners Rd. East, London, ON N6M 1E7.
Name of Certifier
Peter Dutchak CET.
Address of Certifier
As owner.

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

Mark G. McDonald, Administrator/ Clerk, County of Elgin, 450 Sunset Drive, St. Thomas, ON N5R 5V1.