Form ID

Publication date

Location of premises

Certificate

Replacement of the South Seguin Estates Road Bridge

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Seguin
Address of Owner
5 Humphrey Drive, R.R. #2, Parry Sound, ON P2A 2W8
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
P.O. Box 2409, Hwy 11 & 65 West, New Liskeard, ON P0J 1P
Name of Certifier
C.C. Tatham & Associates Ltd.
Address of Certifier
195 Wellington Street, Suite 12, Bracebridge, ON P1L 1C2

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

Owner