Form ID

Publication date

Location of premises

Certificate

Road Reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Village of Omemee.
Address of Owner
1 King Street West, PO Box 1000, Omemee, ON K0L 2W0.
Name of Contractor
Balterre Contracting Limited.
Address of Contractor
PO Box 1431, Peterborough, ON K9J 7H6.
Name of Certifier
Totten Sims Hubicki Associates (197) Ltd.
Address of Certifier
513 Division Street, PO Box 910, Cobourg, ON K9A 4W4.

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

Corporation of the Village of Omemee, 1 King Street West, PO Box 1000, Omemee, ON K0L 2W0.