Form ID

Publication date

Location of premises

Certificate

Contract No.: 106005C 2nd Avenue East (County Road 5) and 4th Avenue “B” East Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Owen Sound / Grey County TAPS
Address of Owner
808 2nd Avenue East, Owen Sound, N4K 2H4 / 595 9th Avenue Ea
Name of Contractor
Harold Sutherland Construction Ltd.
Address of Contractor
RR 2, Kemble, ON N0H 1S0
Name of Certifier
Henderson Paddon & Associates Limited
Address of Certifier
945 Third Avenue East, Suite 212, Owen Sound, ON N4K 2K8

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

City of Owen Sound, 808 2nd Avenue East, Owen Sound, N4K 2H4 / Grey County Transportation and Public Safety, 595 9th Avenue East, Owen Sound, ON N4K 3E3