Form ID

Publication date

Location of premises

Certificate

Contract No. BC-01-107 Construction of storm sewer, sanitary sewer, watermain appurtenances, service connections and road construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
997061 Ontario Ltd.
Address of Owner
26 Windwood Drive, Leamington, ON N8H 4Y2
Name of Contractor
M.R.
Name of Certifier
Bruce D. Crozier Engineering Inc.
Address of Certifier
1940 Mersea Road 4 East, R.R. #4, Leamington, ON N8H 3V7

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

26 Windwood Drive, Leamington, ON N8H 4Y2