Form ID

Publication date

Location of premises

Certificate

Work Certified as complete for Township of Havelock-Belmont-Methuen, Ontario Standpipe

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Havelock-Belmont-Methuen
Address of Owner
PO Box 10 1 Ottawa Street East, Havelock, ON K0L 1Z0
Name of Contractor
Engineered Coatings Ltd.
Address of Contractor
North Dumfries Road 22, Unit A, R.R. #2, Cambridge, ON N1R 5
Name of Certifier
Chad-Co Inspection Services
Address of Certifier
918 West 5th Street, Unit 2, Hamilton, ON L9C 3R7

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

Concession 10, Lot 10, Concession 10