Form ID

Publication date

Location of premises

Certificate

Project 2005.022, Road Striping for 2005-2006, City of Brantford

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brantford
Address of Owner
P.O. Box 818, 100 Wellington Square, Brantford, ON N3T 5R7
Name of Contractor
Provincial Maintenance o/b 649799 Ontario Ltd.
Address of Contractor
7739 Drummond Road, Niagara Falls, ON L2G 4P9

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

City Clerk, City of Brantford, P.O. Box 818, 100 Wellington Square, Brantford, Ontario N3T 5R7