Form ID

Publication date

Location of premises

Certificate

Contract No. 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Essa
Address of Owner
5786 County Road 21, Utopia, Essa Twp. ON L0M 1T0
Name of Contractor
Cross Bay Construction Corporation
Address of Contractor
1035 Grainger Grove Road GB 39, RR4, Huntsville, ON P1H 2J6
Name of Certifier
R.G. Robinson and Associates (Barrie) Ltd.
Address of Certifier
10 High St., Ste. 200, Barrie, ON L4N 1W1

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

Township of Essa, 5786 County Road 21, Utopia Essa Twp ON L0M 1T0