Form ID

Publication date

Location of premises

Certificate

Road Reconstruction Sanitary and Storm Sewers Watermain Known as Project No. 507069

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Hanover
Address of Owner
341 10th Street, Hanover, ON N4N 1P5
Name of Contractor
Moorefield Excavating Ltd.
Address of Contractor
6297 Wellington Road 109 S., RR#3, Harriston, ON N0G 1Z0
Name of Certifier
George Davis, P. Eng.
Address of Certifier
101 14th Avenue, ON N4N 3W1

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

Mr. Ron Cooper, C.E.T., Town of Hanover, 341 10th Street, Hanover, Ontario N4N 1P5