Form ID

Publication date

Location of premises

Certificate

Contract No. 06-16 - Corporation of the City of Belleville - Burns Drive Bridge Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Belleville
Address of Owner
City Hall, 2nd Floor, 169 Front Street, Belleville, ON K8N 2
Name of Contractor
Baltimore Development & Services Ltd.
Address of Contractor
P.O. Box 250, Cobourg, Ont. K9A 4K8
Name of Certifier
G.D. Jewell Engineering Inc.
Address of Certifier
R.R. #7, 5503 Hwy. 62, Box 7200, Belleville, ON K8N 4Z7

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

Corporation of the City of Belleville, City Hall, 2nd Floor, 169 Front St., Belleville, ON K8N 2Y8