Form ID

Publication date

Location of premises

Certificate

Underground services, road base, curb and base course and surface course asphalt and stormwater management works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Owen Sound
Address of Owner
808 2nd Avenue East, Owen Sound, ON N4K 2H4
Name of Contractor
MacDonnell Excavating Ltd.
Address of Contractor
217422 Concession 3, Owen Sound, ON N4K 5N6
Name of Certifier
John Slocombe, P. Eng. GM BluePlan Engineering Limited
Address of Certifier
1260-2nd Avenue East, Unit 1, Owen Sound, ON N4K 2J3

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

The Corporation of the City of Owen Sound, 808 2nd Avenue East, Owen Sound, ON N4K 2H4