Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Township of McGarry
Address of Owner
27 Webster Street, Box 99, Virginiatown, ON P0K 1X0
Name of Contractor
Pedersen Construction (2013) Inc.
Address of Contractor
Hwy 11 &65 West, PO Box 2409, New Liskeard, ON P0J 1P0
Name of Certifier
Ontario Clean Water Agency
Address of Certifier
1200-2225 Erin Mills Parkway, Mississauga, ON L5K 1T9

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

Clerk/Treasurer Township of McGarry 27 Webster Street, Box 99, Virginiatown, ON P0K 1X0