Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Haliburton
Address of Owner
11 Newcastle Street, Minden, ON K0M 2K0
Name of Contractor
Beam Construction Company Ltd.
Address of Contractor
10 Treelawn Blvd, Perth, ON K7H 3L9
Name of Certifier
TULLOCH Engineering Inc.
Address of Certifier
80 Main Street West, Huntsville, ON P1H 1W9

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

The County of Haliburton, 11 Newcastle Street Minden, Ontario K0M 2K0