Form ID

Publication date

Location of premises

Certificate

Replacement of watermain; Replacement of storm management system; Reconstruction of road base including sidewalk, asphalt surface and restoration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Temiskaming Shores
Address of Owner
325 Farr Drive; P.O. Box 2050, Haileybury, ON P0J 1K0
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
P.O. Box 2409, New Liskeard, ON P0J 1P0
Name of Certifier
City of Temiskaming Shores
Address of Certifier
325 Farr Drive; P.O. Box 2050, Haileybury, ON P0J 1K0

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

City of Temiskaming Shores; 325 Farr Dr.; P.O. Box 2050, Haileybury, ON P0J 1K0