Form ID

Publication date

Location of premises

Certificate

Jasper Avenue Reconstruction Project Contract 02/UES/001 Town of Smiths Falls

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Smiths Falls
Address of Owner
77 Beckwith St. N., Smiths Falls, ON K7A 4T6
Name of Contractor
Louis W. Bray Construction Limited
Address of Contractor
17460 Conc. 9A East, R.R. #1, St. Andrews West, ON K0C 2A0
Name of Certifier
Dave Hartwell, Director Utility/Environment Services
Address of Certifier
as owner

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

Utility/Environment Services, Town of Smiths Falls, 77 Beckwith St. N., Smiths Falls, ON K7A 4T6