Form ID

Publication date

Location of premises

Certificate

Contract T03-031 Watermain and asphalt pavement repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener
Address of Owner
200 King St. W. Kitchener ON N2G 4G7
Name of Contractor
Rexco Limited
Address of Contractor
R.R. #1, Gads Hill, ON N0K 1J0
Name of Certifier
Leslie Jones, P.Eng.
Address of Certifier
as owner

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

City of Kitchener, City Hall, City Clerks Division, 200 King Street West, 2nd Floor, Kitchener, ON N2G 4G7