Form ID

Publication date

Location of premises

Certificate

Bridge Replacement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Municipality of Chatham-Kent.
Address of Owner
Box 640, 315 King Street West, Chatham, ON N7M 5K8.
Name of Contractor
Ben Bruinsma & Sons Limited.
Address of Contractor
PO Box 1225, 380 Park Avenue West, Chatham, Ont. N7M 5L8.
Name of Certifier
Sullo Associates Ltd.
Address of Certifier
440 Park Avenue West, Chatham, ON N7M 1X2.

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

Corporation of the Municipality of Chatham-Kent, 315 King Street West, Chatham, ON N7M 5K8.