Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Norfolk County
Address of Owner
183 Main Street, Delhi, ON N4B 2M3
Name of Contractor
Dufferin Construction Co.
Address of Contractor
16 Grigg Drive, Simcoe, ON N3Y 4L1
Name of Certifier
Scott Zerbes
Address of Certifier
As owner

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

The Corporation of Norfolk County, 50 Colborne Street South, Simcoe, Ontario N3Y 4H3