Form ID

Publication date

Location of premises

Certificate

County Road 121 and County Road 1 Intersection Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Haliburton
Address of Owner
PO Box 399, 11 Newcastle Street, Minden, ON K0M 2K0
Name of Contractor
Fowler Construction Company Limited
Address of Contractor
1206 Rosewarne Drive, Box 630, Bracebridge ON P1L 1T9
Name of Certifier
D.M. Wills Associates Limited (B. Walsh)
Address of Certifier
452 Charlotte Street, Peterborough, ON K9J 2W3

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

The Corporation of the County of Haliburton, Municipal Office, PO Box 399, 11 Newcastle Street, Minden, ON K0M 2K0 Attention