Form ID

Publication date

Location of premises

Certificate

Reconstruction of Pearl Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brockville
Address of Owner
1 King Street West, P.O. Box 5000, Brockville, Ont. K6V 7A5
Name of Contractor
Louis W. Bray Construction Ltd.
Address of Contractor
17460 Conc. 9A East, St. Andrews West, ON K0C 2A0
Name of Certifier
Owner
Address of Certifier
Same as Owner.

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

City of Brockville, 1 King Street West, P.O. Box 5000, Brockville, ON K6V 7A5 Attention