Form ID

Publication date

Location of premises

Certificate

Contract No. 2-0202 Southcreek Phase 9A Subdivision Servicing Stage 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Guelph
Address of Owner
59 Carden Street, Guelph, ON N1H 3A1
Name of Contractor
J.G. Goetz Construction Limited
Address of Contractor
P.O. Box 635, Guelph, ON N1H 6L3
Name of Certifier
A. Wayne Cheater, P. Eng., Project Engineer
Address of Certifier
59 Carden Street, Guelph, ON N1H 3A1

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

Lois A. Giles, City Clerk, 59 Carden Street, Guelph, ON N1H 3A1