Form ID

Publication date

Location of premises

Certificate

Road Construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wayne MacLeish.
Address of Owner
c/o Green Forest Nursery, R.R. #1, Lindsay, ON K9V 4R1.
Name of Contractor
Balterre Contracting Limited.
Address of Contractor
2341 Whittington Drive, R.R. #3, Peterborough, ON K9J 7H6.
Name of Certifier
David E. Slessor.
Address of Certifier
Landmark Associates, 244 Aylmer Street N., Peterborough, ON

Identification of Premises

Part of N.W. 1/4 and S.W. 1/4, Lot 22, Concession 2, Township of Ops, Plan 57M-744.

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

c/o Green Forest Nursery, R.R. #1, Lindsay, ON K9V 4R1.