Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Drummond/North Elmsley
Address of Owner
310 Port Elmsley Road, Perth, ON K7H 3C7
Name of Contractor
Arnott Brothers Construction
Address of Contractor
59 Highway 511, Perth, ON K7H 3C9
Name of Certifier
Monica Shade, P. Eng, Contractor Administrator
Address of Certifier
Same as Owner

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

The Corporation of the Township of Drummond/North Elmsley, 310 Port Elmsley Road, Perth, ON K7H 3C7