Form ID

Publication date

Location of premises

Certificate

Installation of Water Service to Eaton Place

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Eaton Place (Flamborough) Inc.
Address of Owner
298 Carlisle Road, Carlisle, ON
Name of Contractor
Wm. Groves Ltd.
Address of Contractor
800 Rennie St., Hamilton, ON L8H 7M1
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2

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

Owner - Address as above