Form ID

Publication date

Location of premises

Certificate

Centre Street Reconstruction and Main Street Sidewalk.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Shelburne.
Address of Owner
203 Main Street East, Shelburne, ON L0N 1S3.
Name of Contractor
Nelson Arnold Construction.
Address of Contractor
R.R. #2, Shelburne, Ont. L0N 1S0.
Name of Certifier
R.J. Burnside & Associates Limited.
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4.

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

Town of Shelburne, 203 Main Street East, Shelburne, ON L0N 1S3.