Form ID

Publication date

Location of premises

Certificate

Township of Adjala/Tosorontio - Concession Road 2 Bridge Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Adjala/Tosorontio
Address of Owner
7855 30th Sideroad, R.R. #1, Alliston, ON L9R 1V1
Name of Contractor
W.G. Kelly Construction
Address of Contractor
P.O. Box 640, 8 Ellens St., Mitchell, ON N0K 1N0
Name of Certifier
R.J. Burnside & Associates
Address of Certifier
3 Ronell Crescent, Collingwood, ON L9Y 4J6

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

Township of Adjala/Tosorontio