Form ID

Publication date

Location of premises

Certificate

Construction of Madawaska Multi-Purpose Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of South Algonquin
Address of Owner
3rd Avenue & Hay Creek Road, Whitney, ON K0J 2M0
Name of Contractor
1610617 Ontario Limited Buildall
Address of Contractor
518A Ridge Rd., Tyendinaga Mohawk Territory, Deseronto, ON K
Name of Certifier
G.D. Jewell Engineering Inc.
Address of Certifier
1-71 Millennium Parkway, Belleville, ON K8N 4Z5

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

Owner