Form ID

Publication date

Location of premises

Certificate

Tuck Creek Inlet Improvements at Kirkburn Contract 00-33

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Burlington
Address of Owner
426 Brant St., Burlington, ON L7R 3Z6
Name of Contractor
560789 Ontario Limited
Address of Contractor
262 Main Street, Acton, ON L7J 1W9
Name of Certifier
Terea Giangregorio C.E.T.
Address of Certifier
As Owner

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

Owner As Above