Form ID

Publication date

Location of premises

Certificate

Contract No. 9919 (H) Hot-Mix Asphalt Resurfacing (County Road 93).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Simcoe.
Address of Owner
1110 Highway 26, Administration Centre, Midhurst, Ont. L0L 1
Name of Contractor
K.J. Beamish Construction Co. Ltd.
Address of Contractor
P.O. Box 2177, Orillia, Ont. L3V 6S1.
Name of Certifier
William H. Brown, P.Eng. County Engineer.
Address of Certifier
1110 Highway 26, Administration Centre, Midhurst, Ont. L0L 1

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

County Clerk, Corporation of the County of Simcoe, 1110 Highway 26, Administration Centre, Midhurst, ON L0L 1X0.