Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Township of South Stormont
Address of Owner
2 Mille Roches Road, P.O. Box 84, Long Sault, ON K0C 1P0
Name of Contractor
A.L. Blair Construction Ltd.
Address of Contractor
7 Labrosse, P.O. Box 220, Moose Creek, ON K0C 1W0
Name of Certifier
McIntosh Perry Consulting Engineers Ltd.
Address of Certifier
115 Walgreen Rd, RR#3, Carp, ON K0A 1L0

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

The Township of South Stormont, 2 Mille Roches Road, P.O. Box 84, Long Sault, ON K0C 1P0