Form ID

Publication date

Location of premises

Certificate

Roof Repairs at Sarnia Arena.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Sarnia.
Address of Owner
P.O. Box 3018, Sarnia, Ont. N7T 7N2
Name of Contractor
Bill Hoekstra General Contracting
Address of Contractor
1121 Evett Street, Sarnia, ON N7S 5N3
Name of Certifier
Terry McCallum.
Address of Certifier
City Hall, Sarnia, (see above).

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

City of Sarnia