Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of West Lincoln
Address of Owner
62181 London Rd., Smithville, ON L0R 2A0
Name of Contractor
W.G. Kelly Construction.
Address of Contractor
R.R. #1, Box 640, Mitchell, ON N0K 1N0.
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
13215 North Service Rd., Box 220, Burlington, ON L7R 3Y2