Form ID

Publication date

Location of premises

Certificate

Tripp Lane & Tiny Beaches Road South Drainage Works Contract #PW-18-19

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Tiny
Address of Owner
130 Balm Beach Road West, Tiny, ON L0L 2J0
Name of Contractor
Arnill Construction Limited o/a Seeley and Arnill Construction
Address of Contractor
255 South St. East PO Box 20, Durham, ON N0G 1R0
Name of Certifier
Kevin Empringham, R.J. Burnside & Associates Limited
Address of Certifier
128 Wellington Street West, Suite 301, Barrie, ON L4N 8J6

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

The Corporation of the Township of Tiny, 130 Balm Beach Road West, Tiny, ON L0L 2J0