Form ID

Publication date

Location of premises

Certificate

Road re-construction and widening under City of Guelph Contract No. 99-12.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Guelph
Address of Owner
59 Carden Street, Guelph, Ontario N1H 3A1.
Name of Contractor
J.G. Goetz Construction Limited.
Address of Contractor
P.O. Box 635, Guelph, Ontario N1H 6L3.
Name of Certifier
T.E. Hearn, P.Eng., Assistant Director of Works.
Address of Certifier
59 Carden Street, Guelph, Ontario N1H 3A1.

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

Lois A. Giles, City Clerk, 59 Carden Street, Guelph, Ontario N1H 3A1.