Form ID

Publication date

Location of premises

Certificate

Contract No. 08-T46, Eleventh St / McConnell, Intersection Rd., Improvements on Larin Avenue

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall
Address of Owner
1225 Ontario Street
Name of Contractor
Malyon Excavation Ltd.
Address of Contractor
17885 South Branch Rd., K6N 5V6
Name of Certifier
City of Cornwall
Address of Certifier
1225 Ontario Street

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

Malyon Excavation Ltd., PO Box 1614, 17885 South Branch Rd., Cornwall, Ontario K6N 5V6