Form ID

Publication date

Location of premises

Certificate

Base course asphalt, curbs, iron adjustments, asphalt removals, etc. on Comba Drive between Joseph Street and Prime Place

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Carlgate Development Inc.
Address of Owner
P.O. Box 44, Carleton Place, ON K7C 3P3
Name of Contractor
Karson Kartage & Konstruction Ltd.
Address of Contractor
3725 Carp Road, Carp, ON K0A 1L0
Name of Certifier
McIntosh Perry Consulting Engineers Ltd.
Address of Certifier
115 Walgreen Rd., Carp, ON K0A 1L0

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

Town of Carleton Place, 175 Bridge Street, Carleton Place, Ontario K7C 2V8, Attention