Form ID

Publication date

Location of premises

Certificate

Churchill Avenue & Truman Street Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington
Address of Owner
426 Brant Street, Burlington, ON L7R 3Z6
Name of Contractor
Blaze Contracting
Address of Contractor
1211 North Service Road E, Oakville, ON L6H 1A7
Name of Certifier
Bob Jurk, City of Burlington
Address of Certifier
As owner

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

Clerks Office, City Hall, City of Burlington, 426 Brant Street, Burlington, ON L7R 3Z6