Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Municipality of Chatham-Kent
Address of Owner
315 King St West, Chatham, ON N7L 5K8
Name of Contractor
Clarke Construction Inc.
Address of Contractor
342 Chatham Street South, Blenheim, ON N0P 1A0
Name of Certifier
Hrycay Consulting Engineers Inc.
Address of Certifier
1725 North Talbot Road, Windsor, ON N9A 6J3

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

The Corporation of the Municipality of Chatham-Kent, Mr. Chris Thibert, 315 King St West, Chatham, Ontario N7M 5K8