Form ID

Publication date

Location of premises

Certificate

Storm sewer construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Halton
Address of Owner
1151 Bronte Road, Oakville, ON
Name of Contractor
Capital Paving Inc.
Address of Contractor
PO Box 815, Guelph, ON
Name of Certifier
Wood Environment & Infrastructure
Address of Certifier
3450 Harvester Road, Suite 100, Burlington, ON

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

Owner - Address as Above