Form ID

Publication date

Location of premises

Certificate

Project No. 2000 110, Road Construction Garden Avenue and Henry Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Brantford
Address of Owner
PO Box 818, Brantford, ON N3T 5R7
Name of Contractor
Cecil Shaver Ltd.
Address of Contractor
R.R. #1, Brantford, ON N3T 5L4
Name of Certifier
David G. Cooper, Paul Theil Associates Limited
Address of Certifier
131 Delta Park Blvd., Brampton, ON L6T 5M8

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

Engineering Department, 100 Wellington Square Brantford ON N3T 2M3