Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Grey
Address of Owner
Grey County Transportation Services, 595 9th Avenue East, Owen Sound, ON N4K 3E3
Name of Contractor
E.C. King Contracting Ltd.
Address of Contractor
2125 20th Avenue East, Owen Sound, ON N4K 5P7

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

Director, Grey County Transportation Services, 595 9th Avenue East, Owen Sound, ON N4K 3E3