Form ID

Publication date

Location of premises

Certificate

Bridge Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Lanark
Address of Owner
99 Christie Lake Road (Sunset Blvd.) PO Box 37, Perth, ON K7
Name of Contractor
Dufferin Construction Company
Address of Contractor
2314 Carp Road, R.R. #3, Carp, ON K0A 1L0
Name of Certifier
Totten Sims Hubicki Associates (1997) Limited
Address of Certifier
240 Terence Matthews Cres., Kanata, ON K2M 3C4

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

County of Lanark, 99 Christie Lake Road (Sunset Blvd.) PO Box 37, Perth, ON K7H 3E2