Form ID

Publication date

Location of premises

Certificate

Contract No. 2002.112 Toplift Asphalt on Various Streets

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brantford
Address of Owner
100 Wellington Square, P.O. Box 818, Brantford, Ontario N3T
Name of Contractor
TCG Asphalt and Construction Inc.
Address of Contractor
P.O. Box 189, London ON N6A 4V7

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

City Clerk, City of Brantford, 100 Wellington Square, P.O. Box 818, Brantford, Ontario N3T 5R7