Form ID

Publication date

Location of premises

Certificate

Replacement of Bridge 030-0261 (PW 1707), Contract No. 300038606

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
Premier Concrete Inc.
Address of Contractor
41772 Sawmill Road, R.R. No. 1, Londesborough, ON N0M 2H0
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4

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

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