Form ID

Publication date

Location of premises

Certificate

Contract No: BC-05-010 Replacement of an access bridge over the Maddox Drain in the Town of Kingsville

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Kingsville
Address of Owner
2021 Division Road North, Kingsville, ON N9Y 2Y9
Name of Contractor
Jeff Shepley Excavating Ltd.
Address of Contractor
2964 County Road #12, R.R. #2, Essex, ON, N8M 2X6
Name of Certifier
Bruce D. Crozier Engineering Inc.
Address of Certifier
1940 Deer Run Road, R.R. #4, Leamington, ON N8H 3V7

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

2021 Division Road North, Kingsville, Ontario N9Y 2Y9
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