Form ID

Publication date

Location of premises

Certificate

Contract #99-003 Noise attenuation wall.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ancaster.
Address of Owner
300 Wilson St. East, Ancaster, L9G 2B9.
Name of Contractor
McKelvey Contracting Limited.
Address of Contractor
#42-1040 Riverside Drive, London, ON N6H 2C8.
Name of Certifier
R. Tupholme, P.Eng.
Address of Certifier
300 Wilson Street East, Ancaster, ON L9G 2B9.

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

Director of Engineering, Town of Ancaster, 300 Wilson Street East, Ancaster, Ontario L9H 3B9.