Form ID

Publication date

Location of premises

Certificate

Brick Replacement and Entrance Revisions

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bluewater District School Board.
Address of Owner
351 First Avenue North, Chesley, ON N0G 1L0.
Name of Contractor
Dwight Burley Construction Ltd.
Address of Contractor
R.R. 2, Kemble, ON N0H 1S0.
Name of Certifier
Erdmann W. Knaack, Architect.
Address of Certifier
R.R. #4, Chatsworth, ON N0H 1G0.

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

Bluewater District School Board, 351 First Avenue North, Chesley, ON N0G 1L0