Form ID

Publication date

Location of premises

Certificate

Jell and Simon Streets Reconstruction and Miscellaneous Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Shelburne
Address of Owner
203 Main Street East, Shelburne, ON L0N 1S0
Name of Contractor
Nelson Arnold Construction Ltd.
Address of Contractor
R.R. #2, Shelburne, ON L0N 1S6
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 Shelburne