Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of South Glengarry
Address of Owner
6 Oak Street, P.O. Box 220, Lancaster, ON K0C 1N0
Name of Contractor
Cornwall Gravel Co. Ltd.
Address of Contractor
390 Eleventh Street West, Cornwall, ON K6J 3P6
Name of Certifier
EVB Engineering
Address of Certifier
208 Pitt Street Cornwall, ON K6J 3B2

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

Bryan Brown, CAO, Township of South Glengarry, 6 Oak Street, P.O. Box 220, Lancaster, ON. K0C 1N0