Form ID

Publication date

Location of premises

Certificate

Rubber Floor Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Hamilton
Address of Owner
77 James Street North, Suite 400, Hamilton, ON L8R 2K3
Name of Contractor
Jagen Construction Limited
Address of Contractor
Box 3550, Station C, Hamilton, ON L8H 7M9
Name of Certifier
City of Hamilton - Hank Wroblewski
Address of Certifier
Same as owner

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

City of Hamilton, Clerk's Division, 71 Main Street West, Hamilton, ON