Form ID

Publication date

Location of premises

Certificate

Project No. 02-3-7193, Contract No. PW02-24

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Quinte West.
Address of Owner
Box 490, Trenton, ON K8V 5R6.
Name of Contractor
Cobourg Development Services Ltd.
Address of Contractor
P.O. Box 997, Cobourg, Ont. K9A 4W4.
Name of Certifier
The Greer Galloway Group Inc.
Address of Certifier
86 River Rd. S., Corbyville, ON K0K 1V0

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

The Greer Galloway Group Inc.