Form ID

Publication date

Location of premises

Certificate

Concrete Pavement Repairs Contract #2004-PW-141

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Prince Edward County
Address of Owner
332 Main St., PO Drawer, 1550, 3rd Fl., Picton, ON K0K 2T0
Name of Contractor
H.R. Doornekamp Construction Ltd.
Address of Contractor
588 Scotland Road, R.R. #1, Odessa, ON K0H 2H0
Name of Certifier
J.T. Watson P.Eng.
Address of Certifier
2383 River Road South R.R. #4, Kemptville, ON K0G 1J0

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

Municipality of Prince Edward County