Form ID

Publication date

Location of premises

Certificate

2003 Third Avenue Reconstruction Project No. 2003-10

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Cochrane
Address of Owner
PO Box 490, Cochrane, ON P0L 1C0
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
P.O. Box 2409, New Liskeard, ON P0J 1P0
Name of Certifier
D.J. Cook P.Eng.
Address of Certifier
as owner

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

Town of Cochrane PO Box 490, Cochrane, ON P0L 1C0