Form ID

Publication date

Location of premises

Certificate

Papineau Creek Bridge Rehabilitation/Contract No. 21-1469

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Carlow/Mayo
Address of Owner
3987 Boulter Road, General Delivery, Boulter, ON K0L 1G0
Name of Contractor
Beam Construction Company
Address of Contractor
16 Heslop Drive, Toronto, ON M8W 4R1
Name of Certifier
G.D. Jewell Engineering Inc.
Address of Certifier
R.R. #7, Highway 62, Belleville, ON K8N 4Z7

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

3987 Boulter Road, General Delivery, Boulter, ON K0L 1G0