Form ID

Publication date

Location of premises

Certificate

Office/Warehouse.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Campbell Bros. Movers Ltd.
Address of Owner
165 Iber Road, Stittsville, Ont.
Name of Contractor
Bruce Baird Construction Ltd.
Address of Contractor
151 Tansley Drive, Carp, ON K0A 1L0
Name of Certifier
Don Campbell.
Address of Certifier
55 Midpark Rd., London, Ont. N6N 1A9.

Identification of Premises

165 Iber Road, Stittsville, Ont.