Form ID

Publication date

Location of premises

Certificate

Renovations to Building to accommodate ambulance facilities

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Municipal Corporation of Norfolk County
Address of Owner
50 Colborne St. S., Simcoe, ON N3Y 4N5
Name of Contractor
Reid and Deleye Contractors Ltd.
Address of Contractor
Box 272, Courtland, ON N0J 1E0
Name of Certifier
G. Douglas Vallee Limited
Address of Certifier
51 Park Road R.R. #1, Simcoe, ON N3Y 4J9

Identification of Premises

Block 125, Plan 182

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

50 Colborne St. S., Simcoe, ON N3Y 4N5