Form ID

Publication date

Location of premises

Certificate

Bridge 63 Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Blandford-Blenheim
Address of Owner
47 Wilmot Street South, Drumbo, ON N0J 1G0
Name of Contractor
Xterra Construction Inc.
Address of Contractor
934 Guelph Street, Kitchener, ON N2H 5Z6
Name of Certifier
K. Smart Associates Limited
Address of Certifier
85 McIntyre Drive, Kitchener, ON N2R 1H6 I

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

47 Wilmot Street South, Drumbo, ON N0J 1G0