Form ID

Publication date

Location of premises

Certificate

Westshore Water and Sewer Project Contract No. 10-01159-C7, for Watermain Swabbing, Chlorination, Flushing and Sampling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Severn
Address of Owner
P.O. Box 159, 1024 Hurlwood Lane, Orillia, ON L3V 6J3
Name of Contractor
A-1 Hydrant Services Limited
Address of Contractor
550 Coronation Drive, Unit 18, Scarborough, ON M1E 4V1
Name of Certifier
Totten Sims Hubicki Associates (1997) Limited
Address of Certifier
10 High Street, Barrie, ON L4N 1W1

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

Township of Severn, Clerks Office, P.O. Box 159, 1024 Hurlwood Ln., Orillia, Ontario L3V 6J3
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