Form ID

Publication date

Location of premises

Certificate

Club House Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mad River Golf Club
Address of Owner
2008 Airport Road, Creemore, ON L0M 1G0
Name of Contractor
Dalton Engineering & Construction Limited
Address of Contractor
1140 Castlefield Avenue, Toronto, ON M6B 1E9
Name of Certifier
Mad River Golf Club
Address of Certifier
2008 Airport Road, Creemore, ON L0M 1G0

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

Mad River Golf Club, 2008 Airport Road, Creemore, Ontario L0M 1G0