Form ID

Publication date

Location of premises

Certificate

Contract No. 2000-3C Colborne Area Phase 2 Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Port Colborne
Address of Owner
66 Charlotte St., Port Colborne, ON
Name of Contractor
DeRose Bros. General Contracting Ltd.
Address of Contractor
401 Allanburg Road, Thorold, ON L2V 1A5

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

66 Charlotte St., Port Colborne, ON L3K 3C8