Form ID

Publication date

Location of premises

Certificate

Carroll Street/ York Avenue Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Middlesex Energy Services Corporation
Address of Owner
351 Frances Street, Strathroy, ON N7G 2L7
Name of Contractor
Birnam Excavating Ltd.
Address of Contractor
7046 Nauvoo Road, R.R. #6, Forest, ON N0N 1J0
Name of Certifier
Archibald, Gray & McKay Engineering Ltd.
Address of Certifier
553 Southdale Road East, London, ON N6E 1A2

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

Middlesex Energy Services Corporation, 351 Frances Street, Strathroy, ON N7G 2L7