Form ID

Publication date

Location of premises

Certificate

Storm & Sanitary Sewers, Watermain, Curb and Gutter, Sidewalk and Asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener.
Address of Owner
200 King St. W., PO Box 1118, Kitchener, ON N2G 4G7.
Name of Contractor
J. Weber Contracting Limited.
Address of Contractor
90 Woolwich Street, P. O. Box 59, Breslau, ON N0B 1M0.
Name of Certifier
Hans Gross for City of Kitchener
Address of Certifier
200 King St. W., PO Box 1118, Kitchener, ON N2G 4G7.

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

City of Kitchener, PO Box 1118, Kitchener, ON N2G 4G7