Form ID

Publication date

Location of premises

Certificate

Concrete slab and fence at Landfill Rd. 3

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of The Blue Mountains
Address of Owner
26 Bridge St. E., Box 310, Thornbury, ON
Name of Contractor
DBD Systems Inc.
Address of Contractor
9730 County Rd. 91, RR #2, Singhampton, ON N0C 1M0
Name of Certifier
R J Burnside & Associates Ltd.
Address of Certifier
3 Ronell Crescent, Collingwood, ON L9Y 4J6

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

26 Bridge St. E. Box 310, Thornbury, ON N0H 2P0