Form ID

Publication date

Location of premises

Certificate

Contract 5-2019, Canterbury Street Mill and Pave

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Ingersoll
Address of Owner
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5
Name of Contractor
Permanent Paving Ltd.
Address of Contractor
P.O. Box 1707, Woodstock, ON
Name of Certifier
Andrew LaCroix, Engineering Technologist
Address of Certifier
130 Oxford Street, 2nd Floor, Ingersoll, ON N5C 2V5

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

Corporation of the Town of Ingersoll, Engineering Department, 130 Oxford Street, 2nd Floor, Ingersoll, Ontario N5C 2V5