Form ID

Publication date

Location of premises

Certificate

Bridge 53 Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Blandford-Blenheim
Address of Owner
47 Wilmot Street South, Box 100, Drumbo, ON N0J 1G0
Name of Contractor
K.K.N. Builders Inc.
Address of Contractor
R.R. #2, Dublin, ON N0K 1E0
Name of Certifier
Eli Abrahim, P. Eng.
Address of Certifier
85 McIntyre Dr., Kitchener, ON N2R 1H6

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

Township of Blandford-Blenheim, 47 Wilmot Street South, Box 100, Drumbo, ON N0J 1G0