Form ID

Publication date

Location of premises

Certificate

Construction of New Sidewalk on the above-mentioned Streets as known as Contract No. 05-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Belleville
Address of Owner
169 Front Street, Belleville ON K8N 2Y8
Name of Contractor
H&H Construction Inc.
Address of Contractor
49 Portage Road, Petawawa ON K8H 2W8
Name of Certifier
Barry Simpson, EIT
Address of Certifier
Same as Owner

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

Clerks Department, Corporate Services Department, 169 Front Street, Belleville, Ontario K8N 2Y8