Form ID

Publication date

Location of premises

Certificate

Jephson Street Watermain Replacement from Francis Street to Queen Street Known as Project No. 199169C Contract No. 199169C

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Tay
Address of Owner
450 Park St., P.O. Box 100, Victoria Harbour, ON L0K 2A0
Name of Contractor
John Edwards Excavating
Address of Contractor
P.O. Box 479, Port McNicoll, ON L0K 1R0.
Name of Certifier
Henderson, Paddon & Associates Limited
Address of Certifier
945 3rd Avenue East, Owen Sound, ON N4K 2K8

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

Ted Walker, CAO/Clerk, Box 100, 45 Park Street, Victoria Harbour, ON L0K 2A0