Form ID

Publication date

Location of premises

Certificate

New Building at the above location

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Haldimand County
Address of Owner
45 Munsee St. N., Cayuga, ON N0A 1E0
Name of Contractor
Reid & Deleye Contractors Ltd.
Address of Contractor
R.R. #1, Box 272, Courtland, ON N0J 1E0
Name of Certifier
KLS Engineering
Address of Certifier
R.R. # 5, River Road, Dunnville, ON N1A 2W4

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

The Corporation of Haldimand County, 45 Munsee St. N., Cayuga, ON N0A 1E0