Form ID

Publication date

Location of premises

Certificate

Fuel Oil System Upgrades Known as Contract No C11-123-04

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Hamilton
Address of Owner
Clerks Department, 71 Main St. W., 2nd Floor, Hamilton, ON L
Name of Contractor
Claybar Contracting Inc.
Address of Contractor
424 MacNab St., Dundas, ON
Name of Certifier
Dillon Consulting Ltd.
Address of Certifier
5 Cherry Blossom Rd., Cambridge, ON

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

Clerks Department, 71 Main St. W., 2nd Floor, L8P 4Y5