Form ID

Publication date

Location of premises

Certificate

PW-10-011, 2010 Supply and Apply Surface Treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Municipality of Central Elgin
Address of Owner
450 Sunset Drive, St. Thomas, ON N5R 5V1
Name of Contractor
Duncor Enterprises Inc.
Address of Contractor
101 Big Bay Point Road, Barrie, ON L4N 8M5
Name of Certifier
Mike Hare, Operations Superintendent
Address of Certifier
Same as Owner

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

Donald N. Leitch, Chief Administrative Officer & Clerk, 450 Sunset Drive, St. Thomas, ON N5R 5V1