Form ID

Publication date

Location of premises

Certificate

County Road 7 Re-alignment Known as Contract No. PW-09-13

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Dufferin
Address of Owner
53 Zina Street, Orangeville, ON L9W 1E5
Name of Contractor
Graham Bros. Construction Limited
Address of Contractor
County Road 7, Town of Mono
Name of Certifier
William Van Ravens
Address of Certifier
as owner

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

County of Dufferin, 53 Zina Street, Orangeville, ON L9W 1E5