Form ID

Publication date

Location of premises

Certificate

Addition to Storage Building Dundas Yard

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Hamilton
Address of Owner
120 King Street West, Hamilton, ON
Name of Contractor
JAGEN Construction Limited
Address of Contractor
Box 3550, Stn C, Hamilton, ON L8H 7M9
Name of Certifier
Kevin Berry
Address of Certifier
330 Wentworth St. N., Hamilton, ON L8L 5W2

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

City Clerks Office, 71 Main Street West, Hamilton, ON L8P 4Y5