Form ID

Publication date

Location of premises

Certificate

Culvert Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Canadian Pacific Railway Company
Address of Owner
Manager, Engineering Maintenance, 2025 McCowan Rd., Scarboro
Name of Contractor
Technical Underground Corporation
Address of Contractor
102 Bales Drive, PO Box 93089, Newmarket, ON L3Y 8K3
Name of Certifier
Pierre Haince, Canadian Pacific Railway
Address of Certifier
940 Elias St., London, ON N5W 3P2

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

Pierre Haince, Canadian Pacific Railway, 940 Elias St., London, ON N5W 3P2