Form ID

Publication date

Location of premises

Certificate

Contract No. 2002-07 - Water Tower Rehabilitation.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brockville.
Address of Owner
Victoria Building, 1 King Street West, P.O. Box 5000, Brockv
Name of Contractor
Blastco Corporation
Address of Contractor
P.O. Box 1886, 8 Kinrade Road, Brantford, ON N3T 5W4

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

Owner.