Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Wellington
Address of Owner
74 Woolwich Street, Guelph, ON N1H 3T9
Name of Contractor
E & E Seegmiller Limited
Address of Contractor
305 Arnold Street, Kitchener, ON N2H 6G1
Name of Certifier
Triton Engineering Services Limited
Address of Certifier
105 Queen Street West, Unit 14, Fergus, ON N1M 1S6

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

County of Wellington, 74 Woolwich Street, Guelph, Ontario N1H 3T9, Attn: Mark Bolzon, Manager Purchasing and Risk Management Services