Form ID

Publication date

Location of premises

Certificate

Bridge Repairs/ Replacements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Town of Milton
Address of Owner
PO Box 1005, Victoria Park Square, 43 Brown St., Milton ON L
Name of Contractor
MTM Restoration & Construction Group
Address of Contractor
842 Nipissing Road, Unit #2, Milton, ON L9T 4Z9
Name of Certifier
R.C. Jones P.Eng., Gamsby and Mannerow Limited
Address of Certifier
Suite 210, 255 Woodlawn Road West, Guelph, ON N1H 8J1

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

Town of Milton, PO Box 1005, Victoria Park Square, 43 Brown Street, Milton, ON L9Y 5H2