Form ID

Publication date

Location of premises

Certificate

Maplecrest and Forest Heights Watermain Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Georgian Bluffs
Address of Owner
RR #3, Owen Sound, ON N4K 5N5
Name of Contractor
Harold Sutherland Construction
Address of Contractor
R.R. #2, Kemble, ON N0H 1S0

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

Mr. Kenneth J. Clark, Clerk-Administrator, Township of Georgian Bluffs, RR #3 Owen Sound ON N4K 5N5