Form ID

Publication date

Location of premises

Certificate

St. Clair Road Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lakeshore
Address of Owner
419 Notre Dame Street, Belle River, ON N0R 1A0
Name of Contractor
Marchand Excavating Contractors Ltd.
Address of Contractor
Box 119, Comber, ON N0P 1J0
Name of Certifier
Todgham & Case Associates Incorporated
Address of Certifier
131 Heritage Road, Chatham, ON N7M 5R9

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

Town of Lakeshore, 419 Notre Dame St., Belle River, ON N0R 1A0