Form ID

Publication date

Location of premises

Certificate

Installation of Sidewalk & Storm Sewer

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Clearview
Address of Owner
217 Gideon Street , Stayner
Name of Contractor
Darpak (Division of 1146321 Ont.)
Address of Contractor
212 Industrial Road, Stayner, ON L0M 1S0
Name of Certifier
Anly and Associates
Address of Certifier
280 Pretty River Parkway, Collingwood Ontario

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

Township of Clearview