Form ID

Publication date

Location of premises

Certificate

Contract # 1999-04, Sewer, Watermain, Road Reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Owen Sound, Ontario.
Address of Owner
808-2nd Avenue East, Owen Sound, Ont. N4K 2H4.
Name of Contractor
Harold Sutherland Construction Limited.
Address of Contractor
R.R. #2, Kemble, Ont. N0H 1S0.
Name of Certifier
Corporation of the City of Owen Sound.
Address of Certifier
808 - 2nd Avenue East, Owen Sound, ON N4K 2H4.

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

Attn