Form ID

Publication date

Location of premises

Certificate

Installation of Watermain along the south side of Highway 11, westerly from Fourth Avenue, within the Township of Matheson, Municipal Contract 2002-100.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Black River-Matheson.
Address of Owner
429 Park Lane, P.O. Box 601, Matheson, Ont. P0K 1N0.
Name of Contractor
R.M. Belanger Limited
Address of Contractor
Box 160, Radisson Ave., Chelmsford, ON P0M 1L0
Name of Certifier
Christine Heavens.
Address of Certifier
Box 601, Matheson, Ont. P0K 1N0.

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

Corporation of the Township of Black-Matheson (at above address).