Form ID

Publication date

Location of premises

Certificate

Construction of sanitary sewers, watermains, forcemains, roads and Pumping Station 2

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Georgina
Address of Owner
26557 Civic Centre Road, Keswick, ON L4P 3G1
Name of Contractor
R.M. Belanger Limited
Address of Contractor
P.O. Box 160, 100 Radisson Avenue, Chelmsford ON P0M 1L0
Name of Certifier
Tony Mellegers, C.E.T., Manager, Field Services
Address of Certifier
KMK Consultants Limited, 220 Advance Boulevard, Brampton, ON

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

Office of Owner