Form ID

Publication date

Location of premises

Certificate

Surface Treatment - Contract No. OP 02-014.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
Caledonia Satellite Office 1 Greendale Drive, Unit #2, Caled
Name of Contractor
Norjohn Limited
Address of Contractor
2800 Townline Road PO Box 100, Thorold, ON L2V 3Y8

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

Corporation of Haldimand County, Clerks Department, 95 Munsee Street, Cayuga, Ontario N0A 1E0