Form ID

Publication date

Location of premises

Certificate

Contract No. RDT 8-03 Concrete Sidewalk and Concrete Curb and Gutter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Brant
Address of Owner
1249 Colborne St. W., Highway No. 53, PO Box 160, Burford, O
Name of Contractor
United Contracting (London) 1123491 Ontario Inc.
Address of Contractor
2074 Dundas St. East, London, ON N5V 1R2

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

County of Brant, 1249 Colborne St. W., Highway 53, PO Box 160, Burford, ON N0E 1A0