Form ID

Publication date

Location of premises

Certificate

Contract No. M162 Dyke and Road Repairs.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Essex Region Conservation Authority.
Address of Owner
360 Fairview Avenue West, Essex, ON N8M 1Y6.
Name of Contractor
971173 Ontario Limited (Pelee Quarries)
Address of Contractor
260 County Road 31, PO Box 627, Leamington, ON N8H 3X4.
Name of Certifier
BTS Consulting Engineers.
Address of Certifier
1725 North Talbot Road, R.R. #1, Windsor, ON N9A 6J3.

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

Essex Region Conservation Authority, 360 Fairview Ave. West, Essex, Ontario Canada N8M 1Y6.