Form ID

Publication date

Location of premises

Certificate

Contract #2000-001 Harmony Hall Phase III/Greenbriar, Appleby

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ancaster
Address of Owner
300 Wilson Street East, Ancaster, ON
Name of Contractor
King Paving & Materials Company.
Address of Contractor
3385 Harvester Road, P.O. Box 699, Burlington, ON L7R 3Y5.
Name of Certifier
R. Tupholme, P.Eng.
Address of Certifier
300 Wilson Street East, Ancaster, ON

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

Director of Engineering, Town of Ancaster, 300 Wilson Street East, Ancaster, ON L9H 3B9