Form ID

Publication date

Location of premises

Certificate

Contract No. 02080, Amberley Beach Road Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Ashfield-Colborne-Wawanosh
Address of Owner
82133 Council Line, R.R. #5, Goderich, ON N7A 3Y2
Name of Contractor
Bill & Tom Kempton Construction Ltd.
Address of Contractor
R.R. #1, Ripley, ON N0G 2R0
Name of Certifier
B.M. Ross and Associates Limited
Address of Certifier
62 North Street, Goderich, ON N7A 2T4

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

82133 Council Line, R.R. #5, Goderich, ON N7A 3Y2