Form ID

Publication date

Location of premises

Certificate

Township of Centre Wellington Asphalting of Various Roads Contract No. T-11-06

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Centre Wellington
Address of Owner
P.O. Box 10, 1 MacDonald Square, Elora, ON N0B 1S0
Name of Contractor
Cox Construction Limited
Address of Contractor
P.O. Box 427,
Name of Certifier
Triton Engineering Services Limited
Address of Certifier
105 Queen St. West, Unit 14, Fergus, ON N1M 1S6

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

Township of Centre Wellington, P.O. Box 10, 1 MacDonald Square, Elora, Ontario N0B 1S0, Attention
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