Form ID

Publication date

Location of premises

Certificate

Installation of Watermain of Hillyard Street, City of Hamiltonh

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brant Street (Hamilton) Holdings Inc.
Address of Owner
c/o A.J. Clarke and Associates Ltd., 300-25 Main Street West
Name of Contractor
Wm Groves Ltd.
Address of Contractor
P.O. Box 3474, LCD 4, Hamilton, ON L8H 7M1

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

Hotz Environmental Services Inc., Attn