Form ID

Publication date

Location of premises

Certificate

Contract No.: 2002-05 Pearl Street Reconstruction (Ormond Street to Bartholomew Street)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brockville
Address of Owner
Victoria Building, 1 King Street West, P.O. Box 5000, Brockv
Name of Contractor
Cruickshank Construction Ltd.
Address of Contractor
P.O. Box 780, 12520 County Road 2, Morrisburg, ON K0C 1X0
Name of Certifier
P.E. Raabe, P. Eng., Municipal Engineer
Address of Certifier
Same as owner

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

Owner