Form ID

Publication date

Location of premises

Certificate

Phase 2 - Roadworks and Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wm. J. Gies Construction Limited
Address of Owner
193 Ashcroft Place, Waterloo, ON N2J 3M7
Name of Contractor
Moorefield Excavating
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0
Name of Certifier
Totten Sims Hubicki Associates
Address of Certifier
72 Victoria St. S., Suite 202, Kitchener, ON N2G 4Y9

Identification of Premises

Part of Lot 12, Concession 1 E.S. & Block B, Registered Plan 1454