Form ID

Publication date

Location of premises

Certificate

Granulars, asphalt, culverts and associated work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Michel Asselin, Town of Renfrew
Address of Owner
127 Raglan St., Renfrew, ON K7V 1P8
Name of Contractor
R.G.T. Clouthier Construction
Address of Contractor
59 Matthews Ave., Pembroke, ON K8A 6W6
Name of Certifier
Adam OConnor, McIntosh Perry Consulting Engineers
Address of Certifier
3240 Drummond Conc. SA, R.R. 7, Perth, ON K7H 3L9

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

127 Raglan St, Renfrew, ON K7V 1P8