Form ID

Publication date

Location of premises

Certificate

Lakeshore Bridges 2002 - Concrete Box Culvert Nos. 1005 (Moison Creek Bridge at South Middle Road), 1013 (North Rear Road Drain Bridge at 12-13 Sideroad) and 1023 (Turnbull Drain at 7th Concession Road)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Lakeshore
Address of Owner
419 Notre Dame Street, PO Box 580, Belle River, ON N0R 1A0
Name of Contractor
Facca Incorporated
Address of Contractor
747 County Road 31, R.R. #1, Ruscom, ON N0R 1R0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Drive, Suite 608, Windsor, ON N8W 5K8

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

Corporation of the Town of Lakeshore, 419 Notre Dame Street, PO Box 580, Belle River, ON N0R 1A0