Form ID

Publication date

Location of premises

Certificate

Reconstruction of sanitary & storm sewers, watermain, curb/gutter, sidewalk and boulevard

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener
Address of Owner
200 King St. West, Kitchener, ON N2G 4G7
Name of Contractor
Bel-Air Excavating & Grading Ltd.
Address of Contractor
R.R. #4, 1321 Cedar Creek Road, Cambridge, ON N1R 5S5
Name of Certifier
John Stevenson, City of Kitcheenr
Address of Certifier
200 King Street West, Kitchener, ON N2G 4G7

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

Clerk's Department, City of Kitchener, 200 King St. West, Kitchener, Ontario N2G 4G7