Form ID

Publication date

Location of premises

Certificate

Reconstruction of Second Street East from Marlborough St. to McConnell Ave.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall
Address of Owner
Box 877, Cornwall, ON
Name of Contractor
Malyon Excavation Ltd.
Address of Contractor
17885 South Br. Rd., Cornwall, ON
Name of Certifier
City of Cornwall
Address of Certifier
Box 877, Cornwall, ON

Identification of Premises

17885 South Br. Rd., Cornwall, ON

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

Same