Form ID

Publication date

Location of premises

Certificate

Watermain and Storm Sewers Known as Project No. 4577 and 4578

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Hanover
Address of Owner
341 10th Street, Hanover, ON N4N 1P5
Name of Contractor
935623 Ontario Ltd. (Moorefield Excavating)
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0
Name of Certifier
Robert A. Weber C.E.T.
Address of Certifier
101 14th Avenue, Hanover, ON N4N 3W1

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

Mr. William Roberts, C.A.O Town of Hanover, 341 10th Street, Hanover, ON N4N 1P5