Form ID

Publication date

Location of premises

Certificate

Bridge Repairs at Sites 005, 079 and 102.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Perth South.
Address of Owner
PO Box 181, 3204 Perth Road, 122, St. Pauls, ON N0K 1V0.
Name of Contractor
Jarlian Construction Inc.
Address of Contractor
1144 Speers Road, Oakville, ON L6L 2X8.
Name of Certifier
B.M. Ross and Associates Limited.
Address of Certifier
62 North Street, Goderich, ON N7A 2T4.

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

Township of Perth South.