Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of McNab Braeside
Address of Owner
2508 Russett Drive, RR#2 Arnprior, ON K7S 3G8
Name of Contractor
B.R. Fulton Construction Ltd.
Address of Contractor
P.O. Box 104, Renfrew, ON K7V 4A2
Name of Certifier
McIntosh Perry Consulting Engineers Ltd.
Address of Certifier
115 Walgreen Rd., RR #3, Carp, ON K0A 1L0

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

Township of McNab Braeside, 2508 Russett Drive, RR#2 Arnprior, ON K7S 3G8