Form ID

Publication date

Location of premises

Certificate

Structure B3008 Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Guelph/Eramosa
Address of Owner
8348 Wellington Road 124, P.O. Box 700, Rockwood, ON N0B 2K0
Name of Contractor
Roubos Farm Service Ltd.
Address of Contractor
6297 Wellington Road 109 R.R. No. 3, Harriston, ON N0G 1Z0
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4

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

8348 Wellington Road 124, P.O. Box 700, Rockwood, ON N0B 2K0