Form ID

Publication date

Location of premises

Certificate

Drain and Street Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Norfolk County
Address of Owner
50 Colborne Street, Simcoe, ON N3Y 4H3
Name of Contractor
Anders Contracting
Address of Contractor
P.O. Box 708, Simcoe, ON N3Y 4T2
Name of Certifier
G. Douglas Vallee Limited
Address of Certifier
2 Talbot Street North, Simcoe, ON N3Y 3W4

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

50 Colborne Street, Simcoe, Ontario N3Y 4H3