Form ID

Publication date

Location of premises

Certificate

Main Street Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Norfolk County
Address of Owner
Box 182, 183 Main Street, Delhi, ON N4B 2M3
Name of Contractor
Cayuga Materials & Construction Co. Limited
Address of Contractor
R.R. #4, Cayuga, ON N0A 1E0
Name of Certifier
R.C. Jones, P.Eng., Gamsby and Mannerow Limited
Address of Certifier
255 Woodlawn Road West, Suite 210, Guelph, ON N1H 8J1

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

Norfolk County, 8 Schellburg Avenue, Simcoe, ON N3Y 2J4