Form ID

Publication date

Location of premises

Certificate

Installation of Municipal Services in Lakeshore Ravines (Phase IV) City of Hamilton

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Francis Green International Inc.
Address of Owner
c/o A.J. Clarke and Asociates Ltd., 300-25 Main Street West,
Name of Contractor
Rankin Construction Ltd.
Address of Contractor
Harbour Commission Building, 605 James Street North, 3rd Flo
Name of Certifier
A.J. Irani, P.Eng.
Address of Certifier
300-25 Main Street West, Hamilton, ON L8P 1H1

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

Francis Green International Inc., Attn