Form ID

Publication date

Location of premises

Certificate

Blind Line Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Mono
Address of Owner
347209 Mono Centre Road, R. R. #1, Orangeville, ON L9W 2Y8
Name of Contractor
Fermar Paving Limited
Address of Contractor
1921 Albion Road, Rexdale, ON M9W 5S8
Name of Certifier
R. J. Burnside & Associates Limited
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4

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

Town of Mono, 347209 Mono Centre Road, R. R. #1, Orangeville, ON L9W 2Y8