Form ID

Publication date

Location of premises

Certificate

Water Line Replacement, Head St. Contract #T06-137

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Chatham-Kent Public Utilities Commission
Address of Owner
c/o 315 King St. W., Chatham, ON
Name of Contractor
Delway Contractors Ltd.
Address of Contractor
8287 Pine Line
Name of Certifier
Thames Valley Engineering Inc.
Address of Certifier
392 Park Ave. E., Suite 100, Chatham, ON

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

315 King St. W., Chatham, ON
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