Form ID

Publication date

Location of premises

Certificate

RFT-TS-04-17, Grey Road 112-900 Bridge Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Grey
Address of Owner
Grey Road 112
Name of Contractor
W.G. Kelly Construction
Address of Contractor
P.O. Box 640, 8 Ellens St., Mitchell, ON N0K 1N0
Name of Certifier
Sarjoon Elawar
Address of Certifier
1620 Wallbridge Loyalist Rd, Belleville, ON K8N 4Z5

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

595 9th Ave E, Owen Sound, ON N4K 3E3