Form ID

Publication date

Location of premises

Certificate

Contract No: 2007-014, Turtle Lake Road, Bridge No. 7

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Seguin
Address of Owner
R.R. 2, 5 Humphrey Drive, Parry Sound, ON P2A 2W8
Name of Contractor
Premier Concrete Inc.
Address of Contractor
P.O. Box 285, 32 Sparling Street, Seaforth, ON N0K 1W0
Name of Certifier
TSH
Address of Certifier
49-1 Manitoba Street, Bracebridge, ON P1L 2A9

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

R.R. 2, 5 Humphrey Drive, Parry Sound, Ontario P2A 2W8