Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Tay Valley Township
Address of Owner
217 Harper Road, Perth, ON K7H 3C6
Name of Contractor
Clearwater Structures Inc.
Address of Contractor
397 Frankcom Street, Ajax, ON L1S 1R4
Name of Certifier
D.M. Wills Associates Limited
Address of Certifier
150 Jameson Drive, Peterborough, ON K9J 0B9

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

The Corporation of Tay Valley Township, 217 Harper Road, Perth, Ontario K7H 3C6 Attn: Clerk