Form ID

Publication date

Location of premises

Certificate

East End Servicing Contract No. 5A

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Wasaga Beach
Address of Owner
P.O. Box 110, 30 Lewis Street, Wasaga Beach, ON L0L 2P0
Name of Contractor
R.M. Belanger Limited
Address of Contractor
PO Box 160, Radisson Ave., Chelmsford, ON P0M 1L0
Name of Certifier
Ainley & Associates Limited.
Address of Certifier
280 Pretty River Parkway Collingwood, ON L9Y 4J5

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

Town of Wasaga Beach, P.O. Box 110, 30 Lewis Street, Wasaga Beach, ON L0L 2P0 Attn