Form ID

Publication date

Location of premises

Certificate

Contract No. 99-21 Catch Basin Cleaning.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brockville.
Address of Owner
One King Street West, P.O. Box 5000, Brockville, ON K6V 7A5.
Name of Contractor
Sewer Rooter (1996) Ltd.
Address of Contractor
635 Industrial Avenue, P.O. Box 9272 Ottawa, ON K1G 3T9.
Name of Certifier
W.A.G. (Bill) Montgomery, C.E.T., Director of Operations.
Address of Certifier
As above.

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

Corporation of the City of Brockville, Victoria Building, 1 King Street West, Brockville, ON K6V 7A5 Attention City Clerk.