Form ID

Publication date

Location of premises

Certificate

Culvert Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Chatham-Kent
Address of Owner
Civic Centre, 315 King St. W., P.O. Box 640, Chatham, ON N7M
Name of Contractor
Facca Construction Inc.
Address of Contractor
747 County Road 31, Ruscom Station, ON N0R 1R0
Name of Certifier
Totten Sims Hubicki Associates (1997) Ltd.
Address of Certifier
72 Victoria St. S., Kitchener, ON N2G 4Y9

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

Corporation of the Municipality of Chatham-Kent