Form ID

Publication date

Location of premises

Certificate

Storm Water Management Facility (part of the North Perth Drainage Project, Southeast Section of Listowel)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Town of North Perth
Address of Owner
330 Wallace Ave. N., Listowel, ON N4W 1L3
Name of Contractor
Moorefield Excavating Ltd.
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0
Name of Certifier
Gamsby and Mannerow Limited
Address of Certifier
975 Wallace Ave. N., Listowel, ON N4W 1M6

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

Town of North Perth - Administrative Offices (see Address for Service above)