Form ID

Publication date

Location of premises

Certificate

BCH 17-15, Supply Haul and Place Hot Mix Bruce Road 1, From Highway 9 North to Bruce Road 20

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Bruce Highways Department
Address of Owner
30 Park Street, P.O. Box 398, Walkerton, ON N0G 2V0
Name of Contractor
Harold Sutherland Construction
Address of Contractor
323545 East Linton Road, Owen Sound, ON N0H 1S0
Name of Certifier
Jerry Haan, Public Works Manager
Address of Certifier
30 Park Street, Walkerton, ON N0G 2V0

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

County of Bruce Highways Department