Form ID

Publication date

Location of premises

Certificate

Contract No. COH 2004-02 Roadway Repairs to the Approaches to the Salmon River Bridge on York Road in the Hamlet of Shannonville

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Hastings
Address of Owner
235 Pinnacle Street, Belleville, ON K8N 3A9
Name of Contractor
H.R. Doornekamp Construction Ltd.
Address of Contractor
588 Scotland Road, R.R. #1, Odessa, ON K0H 2H0
Name of Certifier
G.D. Jewell Engineering Inc.
Address of Certifier
R.R. #7, 5503 Hwy. 62, Box 7200, Belleville, ON K8N 4Z7

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

The Corporation of the County of Hastings, 235 Pinnacle Street, Belleville, ON K8N 3A9