Form ID

Publication date

Location of premises

Certificate

Chlorination Station and Watermain Works.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Waterloo.
Address of Owner
150 Frederick Street, 6th Floor, Kitchener, Ont. N2G 4J3.
Name of Contractor
Sierra Construction (Woodstock) Limited.
Address of Contractor
P.O.
Name of Certifier
Conestoga-Rovers & Associates Limited.
Address of Certifier
651 Colby Drive, Waterloo, Ont. N2V 1C2.

Identification of Premises

Registered Plan (number) if applicable.

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

150 Frederick St., Kitchener, Ont. N2G 4J3.