Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Parry Sound
Address of Owner
52 Seguin Street, Parry Sound, ON P2A 1B4
Name of Contractor
Tower Excavating
Address of Contractor
P.O. Box 10014, Parry Sound, ON P2A 0A4
Name of Certifier
Triton Engineering Services Limited
Address of Certifier
18 Robb Blvd., Unit 8, Orangeville, ON L9W 3L2

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

52 Seguin Street, Parry Sound, Ontario, P2A 1B4