Form ID

Publication date

Location of premises

Certificate

Complete reconstruction of parts of above streets

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall
Address of Owner
Box 877, 1225 Ontario St., Cornwall, ON K6H 5T9
Name of Contractor
Louis W. Bray Construction Limited
Address of Contractor
17460 Cameron Road, St. Andrews West, ON K0C 2A0

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

City of Cornwall, Owner