Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Cochrane
Address of Owner
171 Fourth Avenue,Cochrane, ON P0L 1C0
Name of Contractor
M.J. Labelle Co. Ltd.
Address of Contractor
109 Hwy 11 West, Cochrane, ON P0L 1C0
Name of Certifier
Trow Associates Inc.
Address of Certifier
670 Airport Road, Suite 202, Timmins, ON P4P 1J2

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

Corporation of the Town of Cochrane Attention