Form ID

Publication date

Location of premises

Certificate

Installation of Pipe Subdrains & Hot HL4 Resurfacing Job 10-2001

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the County of Essex
Address of Owner
Office of the County Engineer, 360 Fairview Ave. West, Essex
Name of Contractor
Mill-Am Corporation
Address of Contractor
2155 Fasan Dr., RR #1, Oldcastle, ON N0R 1L0
Name of Certifier
Stuart A. Kelch, P.Eng., County Engineer, Corporation of the County of Essex
Address of Certifier
360 Fairview Ave West, Essex, ON N8M 1Y6

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

Corporation of the County of Essex, 360 Fairview Avenue West, Essex, ON N8M 1Y6