Form ID

Publication date

Location of premises

Certificate

Stage I and Stage II work for the municipal servicing of Kortright IV Subdivision Phase I under City of Guelph Contract No. 2-0013

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Guelph
Address of Owner
59 Carden Street, Guelph, ON N1H 3A1
Name of Contractor
Prior Construction Corporation.
Address of Contractor
R.R. #3, Guelph, Ont. N1H 6H9.
Name of Certifier
T.E. Hearn, P.Eng. Assistant Director of Public Works
Address of Certifier
59 Carden Street, Guelph, ON N1H 3A1

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

Lois A. Giles, City Clerk, 59 Carden Street, Guelph, ON N1H 3A1