Form ID

Publication date

Location of premises

Certificate

Bridge 10 Reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Wellesley.
Address of Owner
4639 Lobsinger Line, St. Clements, Ont. N0B 2M0.
Name of Contractor
K.K.N. Builders Inc.
Address of Contractor
R.R. #2, Dublin, ON N0K 1E0
Name of Certifier
Eli Abrahim, P. Eng.
Address of Certifier
85 McIntyre Dr., Kitchener, Ont. N2R 1H6.

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

Township of Wellesley, 4639 Lobsinger Line, St. Clements, Ont.