Form ID

Publication date

Location of premises

Certificate

Contract No. 2000-007 Section 2 - Left turn lane construction @ Lion’s Gate Subdivision.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Waterloo.
Address of Owner
150 Frederick St., Kitchener, Ont. N2G 4J3.
Name of Contractor
J.G. Goetz Construction Limited.
Address of Contractor
PO Box 635, 400 Elizabeth Street, Guelph, ON N1H 6L3
Name of Certifier
Regional Municipality of Waterloo.
Address of Certifier
150 Frederick St., Kitchener, Ont. N2G 4J3.

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

Regional Municipality of Waterloo (Address as Above).