Form ID

Publication date

Location of premises

Certificate

Hazeldean Road Intersection Modification

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Goulbourn
Address of Owner
2135 Huntley Road, Stittsville, ON K2S 1A3
Name of Contractor
Thomas Cavanagh Construction Limited.
Address of Contractor
R.R. #2, Ashton, Ont. K0A 1B0.
Name of Certifier
Hugh MacDonald
Address of Certifier
350 Palladium Drive, Suite 150, Kanata, ONK2V 1A8

Identification of Premises

Township of Goulbourn

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

2135 Huntley Road, Stittsville, ON K2S 1A3