Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Simcoe County District School Board
Address of Owner
1170 ON26, Midhurst, ON L9X 1N6
Name of Contractor
Coco Paving Inc.
Address of Contractor
701 Dunlop Street West, Barrie, ON L0G 1T0
Name of Certifier
Tatham Engineering Limited
Address of Certifier
50 Andrew Street South, Suite 100, Orillia, ON L3V 7T5

Identification of Premises

62 Denney Drive, Egbert

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

Owner