Form ID

Publication date

Location of premises

Certificate

Construction of Municipal Services up to end of Contract 3 (Primary Roads curb/gutter, binder asphalt).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Reid’s Heritage Homes Ltd.
Address of Owner
6783 Wellington Road, R.R. #22, Cambridge, Ont. N3C 2V4.
Name of Contractor
J.G. Goetz Construction Ltd.
Address of Contractor
PO Box 635, 400 Elizabeth Street, Guelph, ON N1H 6L6
Name of Certifier
Cumming Cockburn Limited.
Address of Certifier
180 King Street South, Waterloo, Ont. N2J 1P8.

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

Reids Heritage Homes Ltd., 6783 Wellington Road, R.R. #22, Cambridge, Ont. N3C 2V4.