Form ID

Publication date

Location of premises

Certificate

Storm and Sanitary Sewers, Watermain, Curb and Gutter, Sidewalk and Asphalt Payment.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener.
Address of Owner
200 King Street West, Kitchener, ON N2G 4G7.
Name of Contractor
J. Weber Contracting Limited.
Address of Contractor
90 Woolwich Street, P. O. Box 59, Breslau, Ont. N0B 1M0.
Name of Certifier
City of Kitchener.
Address of Certifier
200 King Street West, Kitchener, ON N2G 4G7.

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

City of Kitchener, 200 King Street West, Kitchener, ON N2G 4G7.