Form ID

Publication date

Location of premises

Certificate

Decorative Street Lights

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Municipalty of Leamington
Address of Owner
38 Erie Street North, Leamington ON N8H 2Z3
Name of Contractor
Ron Field & Son Electric Ltd.
Address of Contractor
90 Borrowman Street, P.O. Box 673, Chatham, ON N7M 5K8
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

Municipalty of Leamington, 38 Erie Street N., Leamington ON N8H 2Z3 Attn