Form ID

Publication date

Location of premises

Certificate

Unsworth Ave road reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington.
Address of Owner
426 Brant St., Burlington, Ont.
Name of Contractor
G. Macera Contracting Ltd.
Address of Contractor
1834 Drew Rd., Mississauga, ON L5S 1J6
Name of Certifier
Frankn Vak.
Address of Certifier
426 Brant St., Burlington, Ont.

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

Clerks Department, City of Burlington, 426 Brant St.