Form ID

Publication date

Location of premises

Certificate

County of Simcoe - Head River Bridge

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Simcoe
Address of Owner
County Administration Centre, Midhurst, ON L0L 1X0
Name of Contractor
W.G. Kelly Construction
Address of Contractor
P.O. Box 640, 8 Ellens St., Mitchell, ON N0K 1N0
Name of Certifier
R.J. Burnside & Associates
Address of Certifier
3 Ronnell Cresc., Collingwood, ON L9Y 4J6

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

County of Simcoe