Form ID

Publication date

Location of premises

Certificate

Nauvoo Rd. Watermain Watford Project #E-100-47

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Warwick
Address of Owner
R.R. #8, Watford, ON N0M 2S0
Name of Contractor
Robinson Farm Drainage Limited
Address of Contractor
R.R. #3, Ailsa Craig, ON N0M 1A0
Name of Certifier
Bosher Keightley Letham Ltd., Consulting Engineers
Address of Certifier
800 Upper Canada Dr., Sarnia, ON N7W 1A4

Identification of Premises

Nauvoo Rd. Township of Warwick, Ontario

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

Corporation of the Township of Warwick, R.R. #8, Watford, ON N0M 2S0