Form ID

Publication date

Location of premises

Certificate

Clearing, Grubbing, Earthworks and Road Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Township of Perry and Town of Kearney
Address of Owner
PO Box 70, Emsdale, ON P0A 1J0
Name of Contractor
The Thornton Group
Address of Contractor
154 Rockpoint Road, R.R. #1, Kearney, ON P0A 1M0
Name of Certifier
Conestoga-Rovers & Associates Limited
Address of Certifier
651 Colby Drive, Waterloo, ON N2V 1C2

Identification of Premises

Part Lot 30, Concessions 11 and 12, Geographic Township of Bethune, now the Town of Kearney

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

The Township of Perry and Town of Kearney, PO Box 70, Emsdale, ON P0A 1J0