Form ID

Publication date

Location of premises

Certificate

Contract 01-03R Sumach Dr. & Unsworth Ave. Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Burlington
Address of Owner
426 Brant St., Burlington, ON L7R 3Z6
Name of Contractor
Trenchline & Roads Inc.
Address of Contractor
2568 Honsberger Ave., Jordan Station, ON L0R 1S0
Name of Certifier
Frank Vuk
Address of Certifier
as owner

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

City of Burlington, 426 Brant St., Burlington, ON L7R 3Z6