Form ID

Publication date

Location of premises

Certificate

Bridge Deck and Railing Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Lambton
Address of Owner
789 Broadway Street, Wyoming, ON N0N 1T0
Name of Contractor
Triad Contracting (Division of 1375531 Ontario Limited)
Address of Contractor
1185 Michener Road, Sarnia, ON N7S 4W3
Name of Certifier
B.M. Ross and Associates Limited
Address of Certifier
62 North Street, Goderich, ON N7A 2T4

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

Public Works Department, County of Lambton, 789 Broadway Street, Wyoming, ON N0N 1T0
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