Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Ramara
Address of Owner
2297 Hwy. 12, P.O. Box 130, Brechin, ON L0K 1B0
Name of Contractor
K.J. Excavating Inc.
Address of Contractor
373 Warminster Sideroad, Coldwater, ON L0K 1E0
Name of Certifier
Tatham Engineering Limited
Address of Certifier
50 Andrew Street South, Suite 100, Orillia, ON L3V 7T5

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

Owner