Form ID

Publication date

Location of premises

Certificate

Contract No. 2001-0141 Supply, Treat & Stockpile Screened Winter Sand

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Simcoe.
Address of Owner
1110 Highway 26, Administration Centre, Midhurst, ON L0L 1X0
Name of Contractor
Nelson Arnold Construction Ltd.
Address of Contractor
R.R. #2, Shelburne, Ont. L0N 1S6.
Name of Certifier
William H. Brown, P. Eng., County Engineer.
Address of Certifier
1110 Highway 26, Administration Centre, Midhurst, ON L0L 1X0

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

County Clerk, The Corporation of the County of Simcoe, 1110 Highway 26, Administration Centre, Midhurst, ON L0L 1X0