Form ID

Publication date

Location of premises

Certificate

Road reconstruction including Municipal Services.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Waterloo.
Address of Owner
265 Lexington Court, Waterloo, ON N2J 4A8.
Name of Contractor
410754 Ontario Limited (Sousa Concrete).
Address of Contractor
R.R. #1, Branchton, ON N0B 1L0.
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
180 King Street South, Waterloo, ON N2J 1P9.

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

City of Waterloo, 265 Lexington Court, Waterloo, ON N2J 4A8.