Form ID

Publication date

Location of premises

Certificate

Site Servicing Phase I

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Halleybury
Address of Owner
451 Meridian Avenue PO Bag 2050, Halleybury, ON P0J 1K0
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
P.O. Box 2409, Hwy. 11 and 65 West, New Liskeard, ON P0J 1P0
Name of Certifier
D.F. Elliott Consulting Engineers Ltd.
Address of Certifier
36 Lakeshore Rd., P.O. Box 2524, New Liskeard, ON P0J 1P0

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

Town of Halleybury Municipal Office, 451 Meridian Avenue, Halleybury, ON Attention