Form ID

Publication date

Location of premises

Certificate

RWS-98-51 James St. Reconstruction Gill St. to Moffat St.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Orillia.
Address of Owner
50 Andrew St. South, Orillia, ON L3V 7T5.
Name of Contractor
Miller Contracting.
Address of Contractor
2125-16th Ave. East, PO Box 457, Owen Sound, ON N4K 5P7.
Name of Certifier
R.L. Tudhope, P.Eng.
Address of Certifier
As owner.

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

Corporation of the City of Orillia, 50 Andrew St. South, Orillia, ON L3V 7T5