Form ID

Publication date

Location of premises

Certificate

Contract No. 2771 Loading Ramps at Culligan

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Eastern Ontario Water Technology Ltd.
Address of Owner
PO Box 128, 240 Waltham Road, Brockville, ON K6V 5V2
Name of Contractor
D.C. Snelling Limited
Address of Contractor
PO Box 339, Prescott, ON K0E 1T0
Name of Certifier
Kostuch Engineering/ Genivar Consulting Group Inc.
Address of Certifier
9 Broad Street, Suite 306, Brockville, ON K6V 6Z4

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

Eastern Ontario Water Technology Ltd., PO Box 128, Brockville, ON K6V 5V2 Attention