Form ID

Publication date

Location of premises

Certificate

Repairs and Improvements to the Bert Pulley Drain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Municipality of Leamington
Address of Owner
38 Erie Street North, Leamington, ON N8H 2Z3
Name of Contractor
Jeff Shepley Excavating Ltd.
Address of Contractor
2964 County Road No. 12, Essex, ON N8M 2X6
Name of Certifier
Eric Chamberlain, Drainage Superintendent c/o The Corporation of the Municipality of Leamington
Address of Certifier
as owner

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

38 Erie Street North, Leamington, ON N8H 2Z3