Form ID

Publication date

Location of premises

Certificate

Contract No.: 103018 James Street Sewage Pumping Station - Piping and Road Work Portion Only

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of West Perth
Address of Owner
Box 609, 169 St. David Street, Mitchell, ON N0K 1N0
Name of Contractor
Stone Town Construction Ltd. Birnam Excavating Ltd.
Address of Contractor
Box 190, 25 Water Street N., St. Mary’s ON N4X 1B1 7046
Name of Certifier
Henderson Paddon & Associates Limited
Address of Certifier
945-3rd Ave. E., Suite 212, Owen Sound, ON N4K 2K8

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

Municipality of West Perth, Box 609, 169 St. David Street, Mitchell, ON N0K 1N0