Form ID

Publication date

Location of premises

Certificate

Construction of Island View Road Diversion, Engineering Project No. GE99-528

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Amy Hayhoe
Address of Owner
125 Glen Road, Toronto, ON M4W 2W1
Name of Contractor
Fowler Construction Company Limited
Address of Contractor
1206 Rosewarne Dr.,
Name of Certifier
Robert Hughes P.Eng., Georgian Engineering
Address of Certifier
R.R. #1, Parry Sound, ON P2A 2W7

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

Amy Hayhoe, 125 Glen Road, Toronto, ON M4W 2W1