Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Severn
Address of Owner
1024 Hurlwood Lane, Orillia, ON K9V 5R8
Name of Contractor
Ipac Paving Limited
Address of Contractor
9251 Yonge St., Unit 8-872, Richmond Hill, ON L4C 9T3
Name of Certifier
Tulloch Engineering Inc.
Address of Certifier
80 Main St. W. Huntsville, ON P1H 1W9

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

Owner, Township of Severn, Contract PW RFT 2018004