Form ID

Publication date

Location of premises

Certificate

Re-Shingle Sand Dome - Picton

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Prince Edward - Public Works Dept.
Address of Owner
126 County Rd. #32, Picton, ON K0K 2T0
Name of Contractor
AGC & Associates Inc.
Address of Contractor
1296 Hamilton Road, RR#5, Trenton, ON K8V 5P8
Name of Certifier
J. Angelo, P. Eng. Project Manager
Address of Certifier
126 County Rd. #32, Picton, ON K0K 2T0

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

County of Prince Edward - Public Works Dept. , 126 County Road #32, Picton, ON K0K 2T0