Form ID

Publication date

Location of premises

Certificate

Part 2 - La Fontaine/L.A. Place Water System Connection MG 02 2215.4

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Tiny
Address of Owner
130 Balm Beach Road, R.R. #1, Perkinsfield, ON L0L 2J0
Name of Contractor
Gibson Contracting, Division of 645367 Ontario Ltd.
Address of Contractor
R.R. # 1, Orangeville, ON L9W 2Y8
Name of Certifier
R.J. Burnside & Associates Ltd.
Address of Certifier
3 Ronell Crescent, Collingwood, ON L9Y 4J6

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

The Corporation of the Township of Tiny