Form ID

Publication date

Location of premises

Certificate

Contract No. 99-04U - 1999 Gas Construction - Cast Iron Replacement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Utilities Kingston.
Address of Owner
211 Counter Street, PO Box 790, Kingston, ON K7L 4X7.
Name of Contractor
V.J. McMullin Pipeline Welding & Fabrication Ltd.
Address of Contractor
134 Hagerman Avenue, Kingston, ON K7K 5B8.
Name of Certifier
J.R. Hase, P.Eng.
Address of Certifier
Same as owner.

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

Owner, Address as above.