Form ID

Publication date

Location of premises

Certificate

Henry Street/Everett Street Road Reconstruction and Sewer Separation Project in the City of Belleville known as Contract No. 10-12

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Belleville
Address of Owner
169 Front Street, Belleville, ON K8N 2Y8
Name of Contractor
Don Hart Construction Ltd.
Address of Contractor
RR#1, Napanee, ON K7R 3K6
Name of Certifier
Jack Bouwman
Address of Certifier
same as owner

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

Clerks Department, Corporate Services Department, 169 Front Street, Belleville, Ontario K8N 2Y8