Form ID

Publication date

Location of premises

Certificate

Cook Drive Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of King
Address of Owner
2585 King Road, King City, ON L7B 1A1
Name of Contractor
614128 Ontario LTD O/A Trisan Construction
Address of Contractor
Box 502, Schomberg, ON L0G 1T0
Name of Certifier
R.J. Burnside and Associates Ltd.
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4

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

Township of King, 2585 King Road, King City, Ontario L7B 1A1