Form ID

Publication date

Location of premises

Certificate

Addition to Municipal Pool

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Carleton Place
Address of Owner
175 Bridge Street, Carleton Place, ON K7C 2V8
Name of Contractor
Thomas Fuller Construction Co. Limited
Address of Contractor
2700 Queensview Drive, Ottawa, ON K2B 8H6
Name of Certifier
Wayne D. Fraser
Address of Certifier
175 Bridge Street, Carleton Place, ON K7C 2V8

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

175 Bridge Street, Carleton Place, ON K7C 2V8