Form ID

Publication date

Location of premises

Certificate

Reconstruction of Pine Drive, Contract No. 5590-04

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Parry Sound
Address of Owner
52 Seguin St., Parry Sound, ON P2A 1B4
Name of Contractor
Fowler Construction Company Ltd.
Address of Contractor
1206 Rosewarne Dr., PO Box 630, Bracebridge, ON P1L 1T9
Name of Certifier
Triton Engineering Services Ltd.
Address of Certifier
Box 971, 820 Muskoka Rd. S., Gravenhurst, ON P1P 1V3

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

Owner as noted above