Form ID

Publication date

Location of premises

Certificate

Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of South Huron
Address of Owner
322 Main Street South, Box 759, Exeter, ON N0M 1S6
Name of Contractor
Birnam Excavating Ltd.
Address of Contractor
7046 Nauvoo Road, R.R. #6, Forest, ON N0N 1J0
Name of Certifier
Totten Sims Hubicki Associates (1997) Ltd.
Address of Certifier
72 Victoria Street South, Suite 202, Kitchener, ON N2G 4Y9

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

322 Main Street South, Box 759, Exeter, ON N0M 1S6