Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Owen Sound, Ontario
Address of Owner
808-2nd Avenue East, Owen Sound, ON N4K 2H4
Name of Contractor
Spring Tree Farm Corp.
Address of Contractor
2475 Innisfil Beach Road, Innisfil, ON L9C 4C1
Name of Certifier
Corporation of the City of Owen Sound, Ontario
Address of Certifier
808-2nd Avenue East, Owen Sound, ON N4K 2H4

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

ATTN: City Clerk, Corporation of the City of Owen Sound, 808-2nd Avenue East, Owen Sound, ON N4K 2H4