Form ID

Publication date

Location of premises

Certificate

Golf Course Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of North Perth
Address of Owner
330 Wallace Ave. N., Listowel, ON N4W 1L3
Name of Contractor
Brohn Developments Inc.
Address of Contractor
30840 Hodgins Road, R.R. #2, Parkhill, ON N0M 2K0
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

Town of North Perth, Municipal Offices, 330 Wallace Ave. N., Listowel, ON N4W 1L3