Form ID

Publication date

Location of premises

Certificate

Contract No: 99-104 Contract Title: Highway 20 Streetlighting (Ridge to King).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Stoney Creek
Address of Owner
777 Hwy 8, Box 9940, Stoney Creek, ON
Name of Contractor
Black & McDonald Limited
Address of Contractor
31 Pullman Court, Scarborough, ON M1X 1E4
Name of Certifier
M. Paul Cripps, P.Eng., City Engineer
Address of Certifier
777 Hwy 8, Box 9940, Stoney Creek, ON

Identification of Premises

City of Stoney Creek, 777 Hwy #8, Box 9940, Stoney Creek, ON L8G 4N9

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

Lisa Barroso A.M.C.T., Acting City Clerk