Form ID

Publication date

Location of premises

Certificate

Concrete Sidewalks & Curbs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
Caledonia Satellite Office, 282 Argyle Street South, Caledon
Name of Contractor
R.F. Almas Company Limited.
Address of Contractor
P.O. Box 190, Hagersville, ON N0A 1H0
Name of Certifier
Lloyd Rollinson
Address of Certifier
as owner

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

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