Form ID

Publication date

Location of premises

Certificate

Parking Lot and Landscape Improvements Burk’s Falls & District Health Centre

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Huntsville District Memorial Hospital
Address of Owner
354 Muskoka Road 3 North, Huntsville, ON P1H 1H7
Name of Contractor
Fowler Construction Co. Ltd.
Address of Contractor
1206 Rosewood Drive, Bracebridge, ON P1L 1T9
Name of Certifier
Ronald A. Awde Architect
Address of Certifier
1458 King Street, PO Box 142, Bethany, ON L0A 1A0

Identification of Premises

150 Huston Street, Burk’s Falls, ON P0A 1C0

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

c/o Mr. John Frederick, C.F.O. Huntsville District Memorial Hospital, 354 Muskoka Road 3 North Hunstville, ON P1H 1H7