Form ID

Publication date

Location of premises

Certificate

Contract for the Construction of Well Pumping Stations No. 1& 2 Known as Contract No. 5341-01B Project No. 89-1231-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Nation Municipality
Address of Owner
958 Route 500 West, R.R. #3, Casselman, ON K0A 1M0
Name of Contractor
W.B. Maloney Construction Ltd.
Address of Contractor
Box 150, St. Andrews West, ON K0C 2A0
Name of Certifier
Lecompte Engineering Ltd.
Address of Certifier
251 Bank St., Suite 301, Ottawa, ON K2P 1X3

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

Clerk, Corporation of the Nation Municipality 958 Route 500 West R.R. #3, Casselman, ON K0A 1M0