Form ID

Publication date

Location of premises

Certificate

Contract No. PW-E-06-032

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Norfolk County
Address of Owner
183 Main Street, Delhi, ON N4B 2M3
Name of Contractor
Robert M. Simon 黑料社ion Ltd.
Address of Contractor
P.O. Box 973, R.R.#1, Waterford, ON N0E 1Y0
Name of Certifier
Marvin Fehrman, C.E.T.
Address of Certifier
Same as Owner

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

The Corporation of Norfolk County, 50 Colborne Street South, Simcoe, Ontario N3Y 4N5
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