Form ID

Publication date

Location of premises

Certificate

Road and Bridge Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Halton
Address of Owner
1151 Bronte Road, Oakville, ON L6M 3L1
Name of Contractor
Generic Construction Inc.
Address of Contractor
1503 Constance Drive, Oakville, ON L6J 2T8
Name of Certifier
D.K. Inouye, CET
Address of Certifier
Same as owner

Identification of Premises

1464 Uppermiddle Rd, Oakville, ON

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

Regional Municipality of Halton, 1151 Bronte Road, Oakville, ON L6M 3L1