Form ID

Publication date

Location of premises

Certificate

Watermain Replacement on Pearl Street.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lakeshore.
Address of Owner
419 Notre Dame, Belle River, Ontario N0R 1A0.
Name of Contractor
Smith Bros. Excavating Inc.
Address of Contractor
1579 Front Road, LaSalle, Ont. N9J 2B5.
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
3260 Devon Drive, Windsor, ON N8X 4L4.

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

Mr. Tim Mousseau, Director of Public Works - Town of Lakeshore, 419 Notre Dame, Belle River, Ont. N0R 1A0.