Form ID

Publication date

Location of premises

Certificate

Contract #: 02-105R, Rural Resurfacing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Municipality of Chatham-Kent.
Address of Owner
PO Box 640, 315 King St. W., Chatham, Ont. N7M 5K8.
Name of Contractor
Huron Construction Co. Ltd.
Address of Contractor
PO Box 609, Chatham, ON N7M 5K8

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

Corporation of the Municipality of Chatham-Kent, 315 King St., W., Chatham, On. N7M 5K8.