Form ID

Publication date

Location of premises

Certificate

Construction of storm sewers, sanitary sewers, watermain with appurtenances & service connections and road construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mr. Frank Klundert.
Address of Owner
1136 West Belle River Road, Woodslee, ON N0R 1V0.
Name of Contractor
Marchand Excavating Contractors Ltd.
Address of Contractor
Box 119, 10058 Rochester Townline, Comber, ON N0P 1J0.
Name of Certifier
Bruce D. Crozier Engineering Inc.
Address of Certifier
209 Erie Street South, Leamington, ON N8H 3C1.

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

1136 West Belle River Road, Woodslee, ON N0R 1V0.