Form ID

F9-35012

Publication date

Certificate

Township of Dysart, County of Haliburton
1049 Haliburton Lake Road, Haliburton, Ontario K0M 1S0
This is to certify that the contract for the following improvement:
construction of a single-family residence
To the above premises was substantially performed on:
March 14, 2022
Date certificate signed:
April 21, 2022
Name of owner:
Timothy Edward Charles Keefer & Monica Lynne Keefer
Address for service:
1049 Haliburton Lake Road, Haliburton, Ontario K0M 1S0
Name of contractor:
Self-built
Address for service:
Same as Owner
Identification of premises for preservation of liens:
Part Lot 12 Concession 12 Township of Dysart
(all of PIN 39185-0063 LT)

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