Form ID

Publication date

Location of premises

Certificate

Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Chatham--Kent
Address of Owner
315 King Street, P.O. Box 640, Chatham, Ont. N7M 5K8
Name of Contractor
Robinson Farm Drainage Limited
Address of Contractor
R.R. #3, 34834 Cassidy Road, Ailsa Craig, ON N0M 1A0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
440 Park Ave. West, Chatham, ON N7M 1X2

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

Municipality of Chatham-Kent, 315 King St., P.O. Box 640, Chatham, Ont. N7M 5K8.