Form ID

Publication date

Location of premises

Certificate

Watermain Replacement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of West Lincoln.
Address of Owner
8218 London Road, Smithville, Ont. L0R 2A0.
Name of Contractor
Demar Construction.
Address of Contractor
4230 Meadowvale Drive, Unit 1, Niagara Falls, Ont. L2E 5W7.
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, Ont. L7R 3Y2.

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

Owner - Address as Above.