Form ID

Publication date

Location of premises

Certificate

Project No. E 0004 Contract No. 2 Recoating of interior of the Delaware Water Standpipe 11229 Longwoods Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Middlesex Centre
Address of Owner
10227 Ilderton Road, R.R. #2, Ilderton ON N0M 2A0
Name of Contractor
Engineered Coatings Ltd.
Address of Contractor
1023 Rife Road Unit A, RR #2, Cambridge, ON N1R 5S3
Name of Certifier
Envirocon Services
Address of Certifier
10 Audrey Avenue, London, ON N6A 2Y9

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

Clerk/Administrator, Township of Middlesex Centre, 10227 Ilderton Road, R.R. #2, Ilderton, ON N0M 2A0