Form ID

Publication date

Location of premises

Certificate

Construction of Pedestrian Bridge

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Tillsonburg
Address of Owner
10 Lisgar Avenue, Tillsonburg, ON N4G 5A5
Name of Contractor
Xterra Construction Inc.
Address of Contractor
934 Guelph Street, Unit A, Kitchener, ON N2H 5Z6
Name of Certifier
G. Douglas Vallee Limited
Address of Certifier
51 Park Road R.R. #1, Simcoe, ON N3Y 4J9

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

10 Lisgar Ave. Tillsonburg, ON N4G 5A5