Form ID

Publication date

Location of premises

Certificate

Well #3 Connection of Pumphouse

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Mulmur
Address of Owner
R.R. #2, Lisle, ON L0M 1M0
Name of Contractor
Detra Builders
Address of Contractor
1027 Industrial Place, St. Clements, ON N0B 2M0
Name of Certifier
R.J. Burnside & Associates Ltd.
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4

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

Township of Mulmur, R.R. #2, Lisle, Ontario L0M 1M0
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