Form ID

Publication date

Location of premises

Certificate

Contract No. 199086C, Reconstruction of Uplands Drive and Clugston Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of the Village of Markdale
Address of Owner
50 Lorne Street, Box 439, Markdale ON, N0C 1H0
Name of Contractor
E.C. King Contracting Ltd.
Address of Contractor
2125 16th Avenue East, PO Box 457, Owen Sound, ON N4K 5P7
Name of Certifier
Jeff T. Graham, P. Eng.
Address of Certifier
945 - #rd Ave., E., Suite 212, Owen Sound, Ontario.

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

As Above