Form ID

Publication date

Location of premises

Certificate

Box Culvert BC10, Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Grey Highlands
Address of Owner
206 Toronto Street South, Markdale
Name of Contractor
Wayne Schwartz Construction Ltd.
Address of Contractor
505 Miller Ave, Markham
Name of Certifier
Brent Willis, P.Eng.
Address of Certifier
1260-2nd Avenue East, Owen Sound, ON N4K 2J3

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

206 Toronto Street South, Unit 1, Markdale, ON, N0C 1H0