Form ID

Publication date

Location of premises

Certificate

Townsend Line Watermain and Road Reconstruction - Town of Forest

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Municipality of Lambton Shores
Address of Owner
19 Ann Street, PO Box 610, Forest, ON N0N 1J0
Name of Contractor
Birnam Excavating Ltd.
Address of Contractor
7046 Nauvoo Road, R.R. #6, Forest, ON N0N 1J0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
PO Box 426, London, ON N6A 4W7

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

The Municipality of Lambton Shores, 19 Ann Street, PO Box 610, Forest, ON N0N 1J0 Attention