Form ID

Publication date

Location of premises

Certificate

Replacement of Timber Deck

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Municipality Corporation of the Norfolk County
Address of Owner
50 Colborne St. S., Simcoe, ON N3Y 4N5
Name of Contractor
K.K.N. Builders Inc.
Address of Contractor
R.R. #2, Dublin, ON N0K 1E0
Name of Certifier
G. Douglas Vallee Limited
Address of Certifier
51 Park Road, R.R. #1, Simcoe, ON N3Y 4J9

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

50 Colborne St. S., Simcoe, ON N3Y 4N5