Form ID

Publication date

Location of premises

Certificate

Contract No.: 2001 R2 Crooked Bay Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Township of Georgian Bay
Address of Owner
99 Lone Pine Drive, R.R. #1, Port Severn, ON L0K 1S0
Name of Contractor
Don Sherk Construction Limited
Address of Contractor
PO Box 697, Midland, ON L4R 4P4
Name of Certifier
TSH
Address of Certifier
49-1 Manitoba Street, Bracebridge, ON P1L 2A9

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

99 Lone Pine Drive, Port Severn, ON L0K 1S0