Form ID

Publication date

Location of premises

Certificate

Installation of 400mm diameter Raw Watermain including a jack and bore across highway No. 26 and including restoration of the Georgian Trail within the Town of the Blue Mountains

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Geogian Peaks Club Ltd., Attention: Mr. Raymond Van Groll
Address of Owner
Box 400, Thornbury, ON N0H 2P0
Name of Contractor
Arnott Construction Ltd., Attention: Mr. David De Groote
Address of Contractor
2 Bertram Industrial Parkway, Midhurst, ON L0L 1X0
Name of Certifier
C.F. Crozier & Associates Inc.
Address of Certifier
110 Pine Street, Collingwood, ON L9Y 2N9

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

C.F. Crozier & Associates Inc.
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