Form ID

Publication date

Location of premises

Certificate

Contract for the Construction of a water distribution and Sewage Collection System. Known as Contract No. 5341.08 Project No. 88-1232-01 89-1231-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Nation Municipality.
Address of Owner
958 Road 500 west, RR #3, Casselman, ON K0A 1M0
Name of Contractor
Cornwall Gravel Company Ltd.
Address of Contractor
390 Eleventh Street West, PO Box 67, Cornwall, ON K6H 5R9.
Name of Certifier
Lecompte Engineering Ltd.
Address of Certifier
251 Bank St., Suite 301, Ottawa, ON K2P 1X3

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

Clerk,Corporation of the Nation Municipality, 958 Road 500 west, RR #3, Casselman, ON K0A 1M0