Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Killarney
Address of Owner
32 Commissioner Street, Killarney, ON P0M 2A0
Name of Contractor
R.M. Belanger Limited
Address of Contractor
100 Radisson Ave, Chelmsford, ON P0M 1L0
Name of Certifier
Ontario Clean Water Agency
Address of Certifier
Sheridan Centre, 2225 Erin Mills Pkwy, Suite 1200, Mississauga, ON L5K 1T9

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

Candy K. Beauvais 32 Commissioner Street, Killarney, Ontario, P0M 2A0