Form ID

Publication date

Location of premises

Certificate

Watermain installation and road widening

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hamilton-Wentworth Catholic District School Board
Address of Owner
90 Mulberry Street, Hamilton, ON L8N 3R9
Name of Contractor
Anders Contracting.
Address of Contractor
930 Main Street South, Hagersville, ON N0A 1H0
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington ON L7R 3Y2

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

Owner - Address as Above