Form ID

Publication date

Location of premises

Certificate

Soccer Field

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington
Address of Owner
City Hall, 429 Brant Street, Burlington, ON L7R 3Z6
Name of Contractor
Gateman-Milloy Inc.
Address of Contractor
270 Shoemaker Street, Kitchener, ON N2E 3E1
Name of Certifier
John George Associates
Address of Certifier
327 Pine Cove Road, Burlington, ON L7N 1W4

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

City of Burlington, City Hall, 429 Brant Street, Burlington, ON L7R 3Z6