Form ID

Publication date

Location of premises

Certificate

Storm sewer improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Belleville
Address of Owner
169 Front St., Belleville, ON K8N 2Y8
Name of Contractor
Don Hart Construction Limited
Address of Contractor
R.R. #1, 8188 County Road 2, Napanee, ON K7R 3K6
Name of Certifier
Stan Czyczyro C.E.T.
Address of Certifier
Same as Owner

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

Clerks Department, Corporate Services, 169 Front Street, Belleville, Ontario K8N 2Y8