Form ID

Publication date

Location of premises

Certificate

Reconstruction of Roadway

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Waterloo
Address of Owner
Service Centre, 265 Lexington Court, Waterloo, ON N2J 4A8
Name of Contractor
410754 Ontario Limited (Sousa Concrete)
Address of Contractor
R.R. #1, Branchton, ON N0B 1L0
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
180 King Street South, Waterloo, ON N2J 1P9

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

City of Waterloo, Service Centre, 265 Lexington Court, Waterloo, ON N2J 4A8