Form ID

Publication date

Location of premises

Certificate

Bayview Avenue Drainage Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Tay
Address of Owner
450 Park St., Box #100, Victoria Harbour, ON L0K 2A0
Name of Contractor
Connor Excavating Ltd.
Address of Contractor
Site 2, Comp. 4, RR#1, New Lowell, ON L0M 1N0
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
235 Main St. W., Box #579, Stayner, ON L0M 1S0

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

R.J. Burnside & Associates Limited.