Form ID

Publication date

Location of premises

Certificate

Road and Watermain Construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brantford.
Address of Owner
100 Wellington Square, Brantford, ON N3T 2M3.
Name of Contractor
Cecil Shaver Ltd.
Address of Contractor
R.R. #1, Brantford, ON N3T 5L4.

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

City Clerk - Corporation of the City of Brantford.