Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Town of Wasaga Beach
Address of Owner
3 Lewis Street, Wasaga Beach, ON L9Z 1A1
Name of Contractor
Primrose Contracting (Ontario) Inc.
Address of Contractor
PO Box 400, Schomberg, ON L0G 1T0
Name of Certifier
R.J. Burnside & Associate Ltd.
Address of Certifier
3 Ronell Crescent, Collingwood, ON L9Y 4J6

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

The Town of Wasaga Beach