Form ID

Publication date

Location of premises

Certificate

Phase 1A, Sanitary Sewer, Watermain & Electrical Replacement - Part 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Maple Leaf Acres Members' Association
Address of Owner
6478 5th Line, R.R. #4, Fergus, ON N1M 2W5
Name of Contractor
Moorefield Excavating Limited
Address of Contractor
6297 Wellington Road 109 South, R.R. #3, Harriston, ON N0G 1Z0
Name of Certifier
B.M. Ross and Associates Limited
Address of Certifier
206 Industrial Drive, P.O. Box 1179, Mount Forest, ON N0G 2L0

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

Maple Leaf Acres Trailer and Mobile Home Park, 6478 5th Line, R.R. #4, Fergus, ON N1M 2W5