Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Essa
Address of Owner
5786 County Road #21, Utopia, ON L0M 1T0
Name of Contractor
Darpak Inc.
Address of Contractor
212 Industrial Rd, Stayner, ON L0M 1S0
Name of Certifier
Ainley & Associates Limited
Address of Certifier
550 Welham Road, Barrie, ON L4N 8Z7

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

Township of Essa, 5786 County Road #21, Utopia, Ontario L0M 1T0