Form ID

Publication date

Location of premises

Certificate

Contract No. 02-04620-01 New Water Distribution System and Road Widening

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Georgian Bluffs
Address of Owner
R.R. #3, 177964 County Road 18, Owen Sound, ON N4K 5N5
Name of Contractor
Bridge Excavating Ltd.
Address of Contractor
PO Box 327, 407 Lindsay Road 5, Lion’s Head, ON N0H 1W0
Name of Certifier
Pryde Schropp McComb Inc.
Address of Certifier
Box 1600, 311 Goderich St., Port Elgin, ON N0H 2C0

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

Corporation of the Township of Georgian Bluffs, R.R. #3, 177964 County Road 18, Owen Sound, ON N4K 5N5