Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of North Glengarry
Address of Owner
Township of North Glengarry, 90 Main Street, P.O. Box 700, Alexandria, ON K0C 1A0
Name of Contractor
Glengarry Millwrights
Address of Contractor
19705 Loyalist Rd. Williamstown, ON K0C 2J0
Name of Certifier
Lorne Franklin, L.E.T., C.E.T. Robinson Consultants Inc.
Address of Certifier
350 Palladium Drive, Suite 210, Ottawa, ON K2V 1A8

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

Sarah Huskinson, CAO/Clerk, Township of North Glengarry, 90 Main Street, P.O. Box 700, Alexandria, ON K0C 1A0