Form ID

Publication date

Location of premises

Certificate

Sanitary Sewer Extension

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Foundation for Prescott-Russell Services to Children and Adults
Address of Owner
173 Old Highway 17, P.O. Box 248, Plantagenet, ON K0B 1L0
Name of Contractor
Malyon Excavation Limited
Address of Contractor
17885 South Branch Road, P.O. Box 1614, Cornwall, ON K6H 5V6
Name of Certifier
Levac Robichaud Leclerc Associates Ltd.
Address of Certifier
1-2884 Chamberland St., Rockland, ON K4K 1M6

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

Levac Robichaud Leclerc Associates Ltd., 1-2884 Chamberland St., Rockland, Ontario K4K 1M6