Form ID

Publication date

Location of premises

Certificate

Contract # M1603-A2, Road Construction & Services

Date substantially performed:
Date certificate signed:

Participants

Name of Certifier
Stuart Doyle
Address of Certifier
Same as Owner
Name of Owner
Town of Saugeen Shores
Address of Owner
600 Tomlison Dr., P.O. Box 820, Port Elgin, ON N0H 2C0
Name of Contractor
SMRS Construction
Address of Contractor
403625 Grey Rd. 4, Priceville, ON N0H 1K0

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

Town of Saugeen Shores, Clerk's Department, 600 Tomlison Dr., Box 820, Port Elgin, ON N0H 2C0@@B@@