Form ID

Publication date

Location of premises

Certificate

Contract # M1603-A1, Road Construction & Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Saugeen Shores
Address of Owner
600 Tomlison Dr., P.O. Box 820, Port Elgin, ON N0H 2C0
Name of Contractor
Harold Sutherland Construction Ltd.
Address of Contractor
323545 east Linton Road W., R.R. #2, Kemble, ON N0H 1S0
Name of Certifier
David Burnside
Address of Certifier
Same as Owner

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

Town of Saugeen Shores, Clerk's Department, 600 Tomlinson Dr., Box 820, Port Elgin, ON N0H 2C0