Form ID

Publication date

Location of premises

Certificate

Derry Road Rehabilitation, (Contract 00-09)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corp. of the City of Burlington
Address of Owner
PO Box 5013, Burlington, ON
Name of Contractor
Capital Paving Inc.
Address of Contractor
P.O. Box 815, Guelph, ON N1H 6L8
Name of Certifier
Frank Vuk
Address of Certifier
As above

Identification of Premises

Corp. of the City of Burlington (Address Above)