Form ID

Publication date

Location of premises

Certificate

Grey Central Public School Septic System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Avon Maitland District School Board
Address of Owner
62 Chalk Street N., Seaforth, ON N0K 1W0
Name of Contractor
Lloyd Collins Construction Ltd.
Address of Contractor
RR#2, Teeswater, ON N0G 2S0
Name of Certifier
R.J. Burnside
Address of Certifier
332 Lorne Ave E., Stratford, ON N5A 6S4

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

R.J Burnside & Associates Limited