Form ID

Publication date

Location of premises

Certificate

Grindstone Creek Erosion Control, Phase II Contract No. 02-35

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington.
Address of Owner
426 Brant Street, P.O. Box 5013, Burlington, Ontario L7R 3Z6
Name of Contractor
560789 Ontario Limited.
Address of Contractor
254 Main Street, Acton, ON L7J 1W9.
Name of Certifier
City of Burlington, Teresa Giangregorio.
Address of Certifier
426 Brant Street, P.O. Box 5013, Burlington, Ont. L7R 3Z6.

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

Owner as above.