Form ID

Publication date

Location of premises

Certificate

Township of Centre Wellington, Rehabilitation of Bridge no. 31-WG, Second Line at Grand River, Lot 6, Concessions 2 and 3

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Centre Wellington
Address of Owner
P.O. Box 10, 1 MacDonald Square, Elora, ON N0B 1S0
Name of Contractor
MTM Hugo Services Corporation
Address of Contractor
842 Nipissing Road, Unit 2, Milton, ON L9T 4Z9
Name of Certifier
Triton Engineering Services Limited
Address of Certifier
175 Provost Lane, Fergus, ON N1M 3N3

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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