Form ID

Publication date

Location of premises

Certificate

Construction of the Otter Lake Road Diversion Project No. GE00-524 Township of Reference 2002-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Seguin
Address of Owner
5 Humphrey Drive, R.R. #2, Parry Sound, ON P2A 2W8
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
P.O. Box 2409, Hwy 11 & 65 West, New Liskeard, ON P0J 1P
Name of Certifier
Robert Hughes P.Eng. Georgian Engineering
Address of Certifier
205 Manitou Drive, R.R. #1, Parry Sound, ON P2A 2W7

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

Township of Seguin, 5 Humphrey Drive, R.R. #2, Parry Sound, ON P2A 2W8